Grant Report Form

Grantee

Grant Year

Application Number

Project Title

Grant Amount

When did you complete your funded project?

Actual total cash expenses: How much did it cost to complete your project?

Participation

Number of adults engaged in in-person cultural experience?

Number of children (under 18) engaged in in-person cultural experience

Number of artists directly involved

Did you comply with MCC/LCC publicity requirements?

Please provide proof of credit (picture, etc, as appropriate)

Please tell us any other information you would like to provide about the program?

Signature (type name of respondent)

Attachments

Pictures or publicity from the project

Unlimited number of files can be uploaded to this field.
256 MB limit.
Allowed types: gif jpg png svg jpeg tif tiff.

Video from the project

Maximum 4 files.
256 MB limit.
Allowed types: avi mov mp4 ogg wav webm.

Documents from the project

Unlimited number of files can be uploaded to this field.
256 MB limit.
Allowed types: gif jpg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 ogg wav bz2 dmg gz jar rar sit svg tar zip.