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2. Part I: Grantee Information
4. Name of Organization:*
6. Street Address:*
7. City/State/Zip*
9. Contact Person & Title:*
11. Daytime Telephone:*
12. Email:*
14. Project Name:*
16. Part II: Written Evaluation

    As you answer the following questions, please keep your answers concise, avoid repetition across answers and keep each answer to 300 WORDS or fewer.

18. 1. What is the stated goal of this project and how was it met?*
20. 2. How did your project fulfill the top priority areas of the City's Arts and Cultural Plan?*
22. 3. What was the outcome of your proposed marketing plan?*
24. 4. What were the results of the project measurable outcomes and how were they measured? Was the project as successful as anticipated, and if not, what did you learn?*
26. 5. How many participants were served by this project and how will they benefit?*
28. 6. Did this program create collaborations with other arts, civic and business organizations? If yes, please describe.*
30. Part III: Documentation
32. 1. Images

    Provide 2 to 4 jpeg images via electronic mail with a list that identifies the content of the photos, the names of the people pictured, the photographers name or the source you wish credited. This is optional; submission will be interpreted as permission for the Nashua Arts Commission to publish the images for promotional/educational purposes.

34. Upload Image
35. Upload Image
36. Upload Image
37. Upload Image
39. 2. Publications

    Attach 1-2 articles, reviews and other publications about your project that occurred during the grant period.

41. Upload Publication
42. Upload Publication
44. Part IV: Financial Summary
46. Please fill out the 2022 NAC Grant Report Financial Summary form below:
    2022 NAC Grant Report Financial Summary

    Fill out the chart with the appropriate line items for both income and expenses, as projected in your application and the actual amounts as incurred for the project Total project income must equal total project expenses. Save the form and upload it below.

48. Upload Financial Summary*
50. Authorized Signatures:
52. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
54. Electronic Signature of President, Chief Administrative Officer, or Treasurer*
56. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
58. Electronic Signature of Office or Fiscal Sponsor (if applicable)
Leave This Blank:


60. 1. Receive an email copy of this form.
61. Email address

    This field is not part of the form submission.

62. Submit

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