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Artists in Schools Completed Grant Report
Florida Keys Council of the Arts
Project Title
*
Date Project Started
*
MM
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DD
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YYYY
Date Project Ended
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MM
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DD
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YYYY
Location(s) of project
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Teaching Artist(s) Full Name
*
Email
Phone
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Classroom Teacher/School(s)/Organization
*
Principal/Head of Organization
*
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
*
PROJECT REPORT STATISTICS- Please answer ALL of the following
Classes/Sessions/Events Information
Grade levels Served
*
Number of classroom sessions
*
Total classroom hours
*
Number of events (performances, presentations, assemblies, etc.) Note: Please identify events in report text.
*
A) Describe the teacher’s classroom preparation with students prior to the teaching artist’s visits
*
B) Describe the completed project, including its main purpose and the skills the students observed and developed.
*
C) How did the project enhance the curriculum?
*
D) How was the success of the project measured? Please attach your own evaluation tool, such as a survey or comment card. The evaluation must include written remarks from:
• the artist
• the teacher
• at least three students describing the project
• what might be done differently next time
• how the project met the goals of the grant
*
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
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Artists in Schools 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
Antigua and Barbuda
Aruba
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Barbados
Belize
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Jamaica
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Nauru
New Zealand
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Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
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Burkina Faso
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Chad
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Republic of the Congo
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Libya
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Mali
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Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
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Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
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Uganda
Zambia
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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
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Signature - use mouse to write name
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