Trinidad Arts & Cultural Advisory Commission 135 North
Trinidad Arts & Cultural Advisory Commission 135 North Animas Trinidad, Colorado 81082
Request for Project Funding Name (Individual or Organization)______________________________________Title/Position______________ Mailing Address_____________________________________________________________________________ Email________________________________________ Home Phone_____________ Cell Phone_____________ Resume Attached? Yes_____ Two references: Name_______________________________ Phone____________ Name_______________________________ Phone_____________ Describe the Project__________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ Location ____________________________________________________________________________________ Total Project Cost_____________________________ Detailed Budget Attached? Yes_____ Amount Requested ____________ Other Sources/Amounts of Funding _________________________________ ___________________________________________________________________________________________ You will be asked to attend an Arts & Cultural Advisory Commission meeting to present your project. If funded, in any amount, you will be required to file a Final Report, provide receipts for all material/supply purchases, and include photos taken of the project, before, during and at completion. Signed:
Date:
Request for Project Funding Name (Individual or Organization)______________________________________Title/Position______________ Mailing Address_____________________________________________________________________________ Email________________________________________ Home Phone_____________ Cell Phone_____________ Resume Attached? Yes_____ Two references: Name_______________________________ Phone____________ Name_______________________________ Phone_____________ Describe the Project__________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ Location ____________________________________________________________________________________ Total Project Cost_____________________________ Detailed Budget Attached? Yes_____ Amount Requested ____________ Other Sources/Amounts of Funding _________________________________ ___________________________________________________________________________________________ You will be asked to attend an Arts & Cultural Advisory Commission meeting to present your project. If funded, in any amount, you will be required to file a Final Report, provide receipts for all material/supply purchases, and include photos taken of the project, before, during and at completion. Signed:
Date:
