For GDAC Office Use ONLY
Project Number
___________________________
Date Awarded
___________________________
Amount Awarded ___________________________
Organization
Project Director
Project Title
Project Dates
SUMMARY AND EVALUATION
Describe the project (include who, what, when and why)
Where did the project take place (name of facilities and location)
How did this grant benefit your organization and/or community?
Were your objectives met? Why or why not?
Estimate of number of people reached through TV advertisements
Estimate of number of people reached through Web advertisements
Are there any anecdotal or human interest stories that you can share?
DEMOGRAPHICS
Number of Individuals Involved in the Execution of the Project
Local Artists
Non-resident Artists
Volunteers
Paid Professionals
Artists who received a fee
Artists who volunteered their time or work
Non-Artist Volunteers
Full time personnel
Part time personnel
Estimate of Number of Audience Members | Individuals Served
Total number of audience members/participants
Out of town audience
Number of state tourists (Texans traveling greater than 50 miles)
Number of international tourists
Audience number is based on the following:
 Ticket count
 Estimate
 House count
 Dollar sales
 Other
FUTURE
Are any new projects or programs being developed as a result of this project? If yes, please explain.
Do you plan to repeat this project?
 Yes
 No
EXPENDITURES
GDAC FUNDS
A.
B.
C.
D.
E.
F.
G.
H.
APPLICANT’S FUNDS
Cash
In-Kind
TOTAL
PERSONNEL
Administrative
Artistic
Technical
Other
FACILITIES
SUPPLIES/MATERIALS
EQUIPMENT
PROMOTION/PRINTING
TRAVEL/LODGING
OTHER
TOTAL
Revenue (for this project)
A. AMOUNT RECEIVED FROM GDAC (Grant Total)
A. _________________
Grant funds received to date $___________ ; funds pending this report $___________
B. EARNED INCOME AND CASH CONTRIBUTIONS
Admissions/Fees
$___________
Organizational Funds
$___________
Individual Contributions
$___________
Business Contributions
$___________
Foundations
$___________
NEA, TCA, etc.
$___________
Other
$___________
TOTAL (B.)
C. IN-KIND REVENUE
D. TOTAL REVENUE
B. _________________
C. _________________
D. _________________
 I have attached copies of publicity acknowledging GDAC, TCA, and NEA to this report.
 I have been authorized to present this report and, to the best of my knowledge, the information given on
this evaluation is true.
Organization:
By:
(Print)
Date:
(Signature)