LCG External Agencies Arts & Culture Operations Grant Application FY27

Is your organization a line item in the Lafayette Consolidated Government budget?
Amount Requested
Grant Amount Requested
Total Organization Expenses
Organization Name
Organization Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Organization Website
Lafayette City Council District Number
Federal Employer ID Number (EIN)
Organizational Mission Statement
Primary Artistic Discipline of Org.
Primary Target Audience of Org
If 'Other' primary artistic discipline, please describe.
If primary target audience is 'Special Population', please describe.

Contact Person/Project Manager

The Contact Person/Project Manager is the individual who will be directly responsible for the implementation of the described activities and use of funds.
Contact/Project Manager Name
Contact/Project Manager Title
Contact/Project Manager Email
example@example.com
Contact/Project Manager Phone
Please enter a valid phone number.Format: (000) 000-0000.
Authorizing Official

The Authorizing Official is the president of the board or other individual with the authority to enter into a legal contract on behalf of the agency.
Is the Authorizing Official different from the Contact/Project Manager?
Authorizing Official Name
Authorizing Official Title
Authorizing Official Email
example@example.com
Authorizing Official Phone
Please enter a valid phone number.Format: (000) 000-0000.
Chief Fiscal Officer

The Chief Fiscal Officer is the individual immediately responsible for the disbursement of funds for the organization.
Is the Chief Fiscal Officer different from the Contact/Project Manager?
Chief Fiscal Officer Name
Chief Fiscal Officer Title
Chief Fiscal Officer Email
example@example.com
Chief Fiscal Officer Phone
Please enter a valid phone number.Format: (000) 000-0000.

Please provide the following information for the previous fiscal year.

Rows	Total
Number of Public Performances
Number of Workshops, Forums, or Professional Development Programs Offered
Number of Artists Benefitting from your Programs/Services
Number of Artists Paid for Providing Programs/Services
Amount Paid in Artist Fees in Last Fiscal Year
Number of Volunteers Involved in Your Organization
Number of Individuals Benefitting from your Programs/Services

Provide a brief history of your organization

0/3000
Describe the value, purpose, and goals of your organization's programs and services and how they further the organization's mission.

0/5000
Describe programming activities for the current year and projections for next year with included dates or lengths of programs. Include descriptions of productions, exhibits, festivals, and any educational programs. Dates must occur between November 1, 2026 AND October 31, 2027.

0/2000

Describe the community served by your organization's programs and services. How do your services impact the Greater Lafayette community? How is the community involved with the development of programs and services?

0/5000
Address efforts to increase participation, knowledge, and/or exposure to the arts.

0/5000

Provide a brief description of qualifications and experience of management staff, either paid or volunteer, full and part time. Provider of Service forms or Resumes/CVs can be attached below under "Optional Supplemental Attachments".

0/5000
Budget Narrative: How will grant funds be used? Be specific. eg. $1,000 - will be used for X, $2,000 - will be used to support X, $4,000 - will be used for X for implementation of...?

0/1000
How do you plan to evaluate/measure organizational efforts, needs, and programs?

0/3000

Please enter organization's actual income and expenses for the last two completed fiscal years and projections for FY26 and FY27

If there is a surplus or deficit, please explain the discrepancy and plans for use of surplus or deficit reduction.

0/3000
List any IN-KIND Support received for the last completed fiscal year.
Organizations Operational Budget
Directions for Completing the Budget Sheet
- Click on the DOWNLOAD LINK, go to File and Download. Save form to your computer before using.
- Round all dollar amounts to the nearest $1
- Include the dates of the organizations fiscal year
- Include actual cash figures for the last completed fiscal year and projected figures for the current and upcoming fiscal years
- List the source of revenue where indicated
- Check all column and rows total correctly
- You may also attach more detailed budget information in the Supplemental section, although it does not substitute for the information on the organization budget.
- See page 5 of the guidelines for definitions of budget lines
Upload completed Organization Operational Budget

Cancelof

IRS Determination Letter

Determining non profit tax exemption under section 501(c) of the Federal Tax Code Articles of Incorporation
Cancelof
Articles of Incorporation

Cancelof
Certificate of Good Standing from Secretary of State

Cancelof
Organizational By-Laws

Cancelof
List of Organization's Board of Directors

Cancelof
Authorization to Submit Application on Behalf of the Organization

A Board of Directors' resolution of a clause of assurances authorizing the President or Executive Director to submit this application.
Cancelof
Annual Budget adopted by organization's Board of Directors

Cancelof
Financial Statement (audit of IRS Form 990) - only if annual budget exceeds $50,000

Cancelof
Provider of Services Forms
Download form HERE

For any individual receiving salary or funds for services with grant funds. Please submit all Provider of Services forms as one PDF.
Provider of Services Forms

Cancelof

Optional Supplementary Attachments

This can include letters of support, artists resumes/biographies, additional budget details, samples of work, brochures, etc.
Supplementary Materials (up to 5)

Cancelof

Before You Submit

Upon final submission of your application, a request for approval will automatically be sent to your Authorizing Official and your Chief Fiscal Officer, to confirm that they have read and approve of the application being submitted on the organization's behalf. The application will not be accepted for consideration until both signatures have been provided. The approval request will be sent to their corresponding emails as provided in this application. It is the responsibility of the Contact Person/Project Manager to ensure all parties are aware of their responsibility and approve the application in a timely manner.

Contact Person/Project Manager