Section I
Grantee identification and the nature of the activities funded by this grant.
Write the corresponding number or letter in the box provided |
1. Grantee Status:
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01
Individual
02
Organization - Nonprofit
03
Organization - Profit |
04
Government - Federal
05
Government - State
06
Government - Regional |
07
Government - County
08
Government - Municipal
09
Government - Tribal |
99
None of the Above |
2. DUNS Number:
Format: XXXXXXXXX
Go to http://fedgov.dnb.com/webform and follow the link to request your D-U-N-S number via the web.
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2. Federal EIN Number:
Format: XX-XXXXXXX
Provide the EIN Number of the Applicant Organization. If using a Fiscal Sponsor and you do not have an EIN Number, provide the EIN Number of the Fiscal Sponsor.
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3. Grantee Institution:
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01
Individual - Artist
02
Individual - Non-Artist
03
Performing Group
04
Performing Group
-
College/University
05
Performing Group - Community
06
Performing Group - Youth
07
Performance Facility
08
Art Museum
09
Other Museum
10
Gallery/Exhibition Space
11
Cinema
12
Independent Press
13
Literary Magazine
14
Fair/Festival |
15
Arts Center
16
Arts Council/Agency
17
Arts Service Organization
18
Union/Professional Association
19
School District
20
Parent-Teacher Organization
21
Elementary School
22
Middle School
23
Secondary School
24
Vocational/Technical School
25
Other School
26
College/University
27
Library
28
Historical Society |
29
Humanities Council
30
Foundation
31
Corporation
32
Community Service Organization
33
Correctional Institution
34
Health Care Facility
35
Religious Organization
36
Seniors' Center
37
Parks and Recreation
38
Government - Executive
39
Government - Judicial
40
Government - Legislative (House)
41
Government - Legislative (Senate) |
42
Media - Periodical
43
Media - Daily Newspaper
44
Media - Weekly Newspaper
45
Media - Radio
46
Media - TV
47
Cultural Series Organization
48
School of the Arts
49
Arts Camp/Institute
50
Social Service Organization
51
Child Care Provider
99
None of the Above |
4. Grantee Discipline:
- Select
the discipline category that best describes the grantee's ongoing work. |
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01
Dance
02
Music
03
Opera/Music Theater
04
Theater
05
Visual Arts
06
Design Arts
07
Crafts
08
Photography
09
Media Arts
10
Literature |
11
Interdisciplinary
Pertaining to art forms/art works that integrate more
than one arts discipline to form a single work
(e.g.,
collaboration between/among the performing and/or visual arts). Include
performance art. |
12
Folklife/Traditional Arts
Pertaining
to oral, customary, material, and performance traditions informally learned
and transmitted in contexts characteristic of ethnic, religious, linguistic,
occupational and/or regional groups. Do not include folk-inspired forms (i.e.,
interpretations of ethnic/folk dance or music by artists outside the
particular ethnic/folk tradition should be coded 01 or 02, respectively.) |
13
Humanities
14
Multidisciplinary
Pertaining to two or more of the arts disciplines above
(do not include interdisciplinary activities or events).
15
Non-Arts/Non-Humanities |
5. NEA Primary Strategic Outcome: choose one item that best describes the PRIMARY strategic outcome associated with the grant.
- Select
the discipline category that best describes the activities offered through
this CAC grant. |
6. Project Discipline:
- Select
the discipline category that best describes the activities offered through
this CAC grant. |
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01
Dance
02
Music
03
Opera/Music Theater
04
Theater
05
Visual Arts
06
Design Arts
07
Crafts
08
Photography
09
Media Arts
10
Literature |
11
Interdisciplinary
Pertaining to art forms/art works that integrate more
than one arts discipline to form a single work
(e.g., collaboration between/among the performing and/or
visual arts). Include performance art. |
12
Folklife/Traditional Arts
Pertaining
to oral, customary, material, and performance traditions informally learned
and transmitted in contexts characteristic of ethnic, religious, linguistic,
occupational and/or regional groups. Do not include folk-inspired forms (i.e.,
interpretations of ethnic/folk dance or music by artists outside the
particular ethnic/folk tradition should be coded 01 or 02, respectively.) |
13
Humanities
14
Multidisciplinary
Pertaining to two or more of the arts disciplines above
(do not include interdisciplinary activities or events).
15
Non-Arts/Non-Humanities |
7. Type of Activity:
- Select the activity
category that best describes the activities undertaken through this CAC grant. |
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01
Acquisition
02
Audience services
03
Fellowships
04
Artwork Creation
05
Concert/Performance/Reading
06
Exhibition
07
Facility Construction/ Maintenance
08
Fair/Festival
09
Identification/Documentation
10
Organization Establishment
11
Operating Support |
12
Arts Instruction
13
Marketing
14
Professional Support
-
Administrative
15
Professional Support - Artistic
16
Recording/Filming/Taping
17
Publication
18
Repair/Restoration/
Conservation
19
Research/Planning
20
School Residency |
21
Other Residency
22
Seminar/Conference
23
Equipment Acquisition
24
Distribution of Art
25
Apprenticeship
26
Regranting
27
Translation
28
Writing About Art
29
Professional Development/
Training
30
Student Assessment |
31
Curriculum Development/
Implementation
32
Stabilization/Endowment/
Challenge
33
Building Public Awareness
34
Technical Assistance
35
Web Site/Internet Development
36
Broadcasting
37
Public Art
99
None of the Above |
8. Arts Education:
- If this grant does
not support an arts education component, write "99". |
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01
50% or more of this program's/project's activities are arts education
02
Less than 50% of this program's/project's activities are arts education |
Section II Numbers and
identities of individuals participating in the programs and activities of the
grantee resulting from this grant. Write the corresponding number or
letter in the box provided |
1. Adults
Benefiting: |
Enter the total number of adults who were directly involved with the funded activity/activities.
This includes actual audience numbers and other non-artist project participants. |
2. Artists Participating: |
Enter
the total number of artists directly involved with the funded activity. |
3. Children/Youth
Benefitting: |
Enter
the total number of children and youth benefitting directly from the funded
activity. |
4. Project Race:
- Select all categories that, by your best estimate, made up 25% or more of the population that directly benefited from the award during the period of support. These responses should refer to populations reached directly, rather than through broadcasts or on-line programming. |
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N American Indian/Alaskan Native individuals
A Asian individuals B Black/African American individuals H Hispanic/Latino individuals
P Native Hawaiian/Pacific Islander individuals
W White individuals
G No single racial/ethnic group made up more than 25% of the population directly benefited. |
5. Population Benefited by Age:
- Select all categories that, by your best estimate, made up 25% or more of the population that directly benefited from the award during the period of support. These responses should refer to populations reached directly, rather than through broadcasts or on-line programming. |
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01 Children/Youth (0-18 years)
02 Young Adults (19-24 years) 03 Adults (25-64 years) 04 Older Adults (65+ years)
99 No single age group made up more than 25% of the population directly benefited
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6. Population Benefited by Distinct Groups:
- Select all categories that, by your best estimate, made up 25% or more of the population that directly benefited from the award during the period of support. These responses should refer to populations reached directly, rather than through broadcasts or on-line programming. |
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D Individuals with Disabilities
I Individuals in Institutions P Individuals below the poverty line E Individuals with Limited English Proficiency
M Military Veterans/Active Duty Personnel
Y Youth at Risk
G No single distinct group made up more than 25% of the population directly benefited. |
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