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.
128 MB limit.
Allowed types: gif, jpg, png, svg, jpeg, tif, tiff.

Video from the project

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

Documents from the project

Unlimited number of files can be uploaded to this field.
128 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.