EmailMe Form - Special Project Completed Grant Report

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Project Title *
Partner Organization *
Date Project Started *
MM / DD / YYYY
Date Project Ended *
MM / DD / YYYY
Location(s) of project *
Full names of artist or organization *
Contact Person if different from above *
Email *
Phone
### - ### - ####
PROJECT REPORT STATISTICS - Please answer ALL of the following
Number of Participants
Youth Served *
Adults Served *
Of adults, number of artists *
Of adults, number of elders *
Of all participants, number with special needs *
Number of events (performances, presentations, assemblies, etc.) Note: Please identify events in report text. *
A) Please describe your Special Project - what you did and how you did it. *
B) Describe the outcomes, and if these outcomes met your original project goals. *
C) Describe the methods used to evaluate your project. How was success measured? Please attach below your own survey tools and/or comment cards. *
D) How did you spend your grant funds? Please include details. *
If permitted, attach photographs, audio, video or any other type of project documentation. Please also attach receipts, any press releases, articles or programs regarding the project.
If you prefer to send your supporting materials listed above through the mail, please send to:

Martha Resk
Florida Keys Council of the Arts
1100 Simonton St. 2-263
Key West, FL 33040

or drop off at the Arts Council Office at the address above.
Artist Timesheet
Receipts
File Upload
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File Upload
Special Project Completed Grant Program Report
INVOICE FOR PAYMENT
Payable to:
Grant Amount:
Mail to:

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Hidden Field
Click below for FILLABLE W9 form.
Once completed, SAVE it on your desktop and upload it.
Click HERE
Upload completed W9 here
We certify that all work has been performed as described in the letter of agreement. Attached are the completed report, W-9 and receipts for materials, a timesheet of the artist hours, comments, photos and publicity information.
Date Time
MM / DD / YYYY
Signature - use mouse to write name *
Clear

PROJECT REPORT STATISTICS - Please answer ALL of the following

If permitted, attach photographs, audio, video or any other type of project documentation. Please also attach receipts, any press releases, articles or programs regarding the project.

Special Project Completed Grant Program Report

Click below for FILLABLE W9 form. Once completed, SAVE it on your desktop and upload it.

Click below for FILLABLE W9 form.
Once completed, SAVE it on your desktop and upload it.