James River Arts & Cultural District Program
Funding Application

Project Title

Applicant Organization/Individual

Employer Identification Number (if applicable)

Phone Number

Is Applicant:

an Individual

Non-Profit Organization

Other

If "Other," please explain:

Est. Attendance (if applicable):

Requested Grant Amount:

Total Project Cost

Project Summary

Briefly describe the project for which you are requesting an Arts & Cultural Project Grant. Be sure to include details such as date, time and expected project completion.

Does this project have community support? What other individuals or organizations are you collaborating with? Please list and describe the relationship with each collaborator. Collaboration is a partnership with another organization or individual to produce the project in which both parties share responsibility and benefit A collaboration is not: • A sponsorship • A transaction • A paid vendor • A donor Unless in the grant narrative, the applicant can clearly describe WHY one of the above is a true collaborator.

How does this project or activity provide a new or innovative offering in the James River Arts & Culture District? If this is a multi-year event/project, please explain how many years the event/project has occurred and previous achievements. Explain how this funding will support new and innovative offerings.

Please describe how this project benefits the public and the citizens of Lynchburg. Does this project address community well-being (poverty, social isolation, economic development, inclusivity, etc…) How is the project or activity inclusive and reaching new arts audiences?

Economic Impact & Cultural Benefit to the Public

Describe how this project will enhance the Arts & Culture District, and explain the project’s artistic or cultural benefit to the citizens of Lynchburg

Provide an estimated economic impact for the project, using the Americans for the Arts “Arts & Economic Prosperity Calculator,” available online here.

Step 1: Select the 50,000 to 90,000 population for our community.

Step 2: Enter the total expenses associated with this project/event.

Step 3: Enter in the estimated total attendance for this project/event.

Please attach a JPEG, PNG or PDF of the estimate here.

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Project budget worksheet template can be downloaded here under "How Can I Apply?"

Upload Project Budget

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Budget Narrative

List all income and expenses and specifically describe how funds will be used. Detail and identify any in-kind contributions, sponsorships, donations and external funding. According to the Nonprofit Leadership Center, as of April 2023, the estimated national value of each volunteer hour is currently $31.80.

Explain how, when, and by whom the sources of funds will be obtained and managed.

Upload a copy of your organizations most recent IRS W-9 Form.

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Amusement Tax

Does your organization collect Amusement Tax?

Will your organization charge Amusement Tax for this program/project?

Authorization

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First Name

Last Name

Choose how to sign

Draw Type

By signing this Application, the Authorizing Agent is guaranteeing that the information contained in this Application is correct and verifiable. The Authorizing Agent is affirming that the funds requested herein will be used for the specific purpose outlined in this Application and for no other purpose. Providing false, inaccurate or misleading information or the use of grant funds for other than the expressed purpose will result in disqualification from consideration and forfeiture of any grant awarded. Upon grant approval, the Authorizing Agent agrees to sign a Grant Disbursement Agreement that may include an audit of grant expenditure.

James River Arts & Cultural District Program Funding Application

Project Summary

Economic Impact & Cultural Benefit to the Public

Budget Narrative

Amusement Tax

Authorization

James River Arts & Cultural District Program
Funding Application