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Home My WebLink Aboutmatching fund application 2017IOWA CITY PUBLIC ART MATCHING FUND APPLICATION FORM PROJECT NAME _______________________________________________________________ PROJECT LOCATION/ADDRESS____________________________________________________ APPLICANT NAME______________________________________________________________ APPLICANT ADDRESS ___________________________________________________________ CITY/STATE ____________________________________ ZIP ___________________________ PHONE ______________________ E-MAIL ADDRESS ________________________________ TOTAL PROJECT COST _____________________ MATCHING FUND REQUEST______________ PROPOSED PROJECT DATE(S) __________________________________________ FUNDING SOURCES OUTSIDE OF MATCHING FUND PROGRAM: Source Matching fund amount Committed or Anticipated? ____________________ __________________ __________________ ____________________ __________________ __________________ ____________________ __________________ __________________ ____________________ __________________ __________________ BRIEF DESCRIPTION OF THE PROPOSED PROJECT TO BE FUNDED WITH MATCHING GRANT: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ EXPLAIN HOW THIS PROJECT IS DEFINED AS “PUBLIC ART” AND DEMONSTRATE THAT THE ARTWORK/EVENT WILL BE LOCATED IN AN AREA OPEN AND FREELY AVAILABLE TO THE GENERAL PUBLIC: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ IF THE PROJECT IS A PHYSICAL INSTALLATION, PROVIDE INFORMATION REGARDING SIZE, WEIGHT, MEDIUM, MATERIALS AND INSTALLATION IN ANY OF THE FOLLOWING FORMATS:  SITE PLAN SHOWING PLACEMENT OF ART ON SITE  JPEGS, MODELS, OR RENDERING OF PROPOSED ART  NARRATIVE IF NECESSARY EXPLAIN SPECIFICALLY WHAT THE MATCHING FUNDS WILL PAY FOR: _____________________________________________________________________________ _____________________________________________________________________________ DESCRIBE THE INTENDED AUDIENCE FOR THIS PROJECT AND WHAT EFFORTS YOU WILL MAKE TO BENEFIT THE BROADER IOWA CITY COMMUNITY: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ DESCRIBE YOUR PARTNERS IN THIS PROJECT AND WHAT ROLE THEY WILL PLAY IN THIS PROJECT (FINANCIAL ASSISTANCE, PROVIDING SPACE, TECHNICAL ASSISTANCE OR OTHER): PARTNER CONTRIBUTION _____________________ ______________________________________________________ _____________________ ______________________________________________________ _____________________ ______________________________________________________ _____________________ ______________________________________________________ (Attach letters of support if available) EXPLAIN HOW YOU WILL GAUGE A SUCCESSFUL OUTCOME OF THE PROJECT: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ SUBMISSIONS MUST BE RECEIVED BY 5:00 P.M. Friday, January 20, 2017 or Friday - April 21, 2017 21 MARCIA BOLLINGER City of Iowa City Public Art Program 410 E Washington Street Iowa City, IA 52240 MARCIA-BOLLINGER@IOWA-CITY.ORG 319-356-5237 HARD COPY OR ELECTRONIC SUBMISSIONS ACCEPTED