American Rescue Plan Act (ARPA) Funding SubGrant Application Survey

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* 1. The organization applying is a registered nonprofit organization

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* 2. I have read and understand the Eligibility and Application Process Information on the Gaston Arts Council website

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* 3. I understand that the award announcements and any other notifications regarding the panel's decision will be provided via email within 30-45 business days after the grant application deadline

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* 4. I understand that (if my organization is a recipient of grant funds) the check will be mailed within 3-10 business days after all signed grant documents are received by Gaston Arts Council

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* 5. Organization agrees to participate in the special data collection process for the Arts and Economic Prosperity 6

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* 6. Organization Information

Name of Organization

Contact Person’s Name

Contact Person’s Title

Mailing Address

City

State

ZIP/Postal Code

County

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* 7. Organization Information (continued)

Work Phone Number

E-Mail Address

Website

Organization's EIN

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* 8. Grant Request

Grant Amount Requested

Project Start Date

Project End Date

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* 9. Strategy for ARPA Funds Area (Select One Category Only)

Sustainability (specify in question 9 below only)

Expanding Relationships (specify in question 8 below only)

Capacity Building (specify in question 7 below only)

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* 10. Strategy for ARPA Funds Area: Capacity Building (Specify Below from Associated Response in Question 6 and Select Only One Category)

Financial Literacy Development

Developing a Fundraising Plan

Board Development/Training

Program Evaluation

Strategic Planning

Professional Marketing Plan

Diversity, Equity, Accessibility, and Inclusion Training

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* 11. Strategy for ARPA Funds Area: Expanding Relationships (Specify Below from Associated Response in Question 6)

Developing new partnerships, programming, and outreach with *BIPOC Artists (*Black, indigenous, and people of color). Please include details about the BIPOC Artists (i.e. name, brief bio, etc.)

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* 12. Strategy for ARPA Funds Area: Sustainability (Specify Below from Associated Response in Question 6 and Select Only One Category)

Operational Expenses

Hiring Part-Time Staff or Contract Workers

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* 13. Project Title or Summary Description (the response should be related to the grant request therefore do not put the organization’s mission here)