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wwr~owwt csaovrcwr row r~.s„ ~•/ IBIG READ N ~'ERTIFICATION PAGE for seotember 200 -June 2011 In order for your application to be complete, an eGRANT must be submitted and application materials must be received in Arts Midwest's office by 4:00 pm CST, February 2, 2010. Cabarrus County Public Library Organization Name Concord Clty N C 28025 State Zip APPLICATION REQUIREMENTS SUBMITTED THROUGH eGRANT (Note: these application requirements have changed from previous application deadlines. Please read thoroughly.) 1. One-page organizational description• Describe your mission, principal activities, and the make-up of the community you serve. Describe any past programming that demonstrates your ability to develop and manage a successful Big Read program. • Create in Word using 11-point type, single-spaced, 1" margins and upload into eGRANT. 2. List of proposed community partners with whom you plan to collaborate. Enter data online directly into eGRANT. 3. List of proposed school partners (middle and high schools, school libraries, school districts, community colleges, or universities in your area). • Enter data online directly into eGRANT. 4. List of potential media partners (TV, radio, print, or Internet). Enter data online duectly into eGRANT. 5. Two-page application narrative: Describe your literary programming plans, the number, locations, types of activities, and potential partner roles, including your partner library (if applicant itself is not a library). Describe your intended audience for these events, how your organization will engage audiences that are diverse within the context of your community, groups you have identified as lapsed and/or reluctant readers, and your specific plans to reach them with programming. Explain how you plan to staff this program. Explain how you will use and distribute the printed and online educational materials and, should you choose to purchase them, copies of the selected book. Previous grantees should focus on proposed September 2010-June 2011 programming while incorporating how upcoming plans builds on previous Big Read experiences. In particular, previous grantees should explain how they will reach new audiences within their community not previously involved in Big Read activities. • Create in Word using 11-point type, single-spaced, 1" margins and upload into eGRANT. One-page (total) biographical descriptions of the principal program leaders. • Create in Word using 11-point type, single-spaced, 1" margins and upload into eGRANT. Two-page program budget. • Use the downloadable Program Budget Instructions and form provided through eGRANT and upload into eGRANT. Additional materials • Collate additional materials in the order requested. • Do not use staples or place your materials in binders or folders. 1. Proof of your organization's FEDERAL tax-exempt status, consisting of either: a. Copy of your organization's federal tax-exempt ruling under Section 501(c)(3) of the Internal Revenue Code; or b. Documentation indicating that your organization is a division of state, local, or tribal government. State sales tax-exemption certificates and copies of ordinances or bylaws are not qualified documents. For assistance in identifying the correct documentation, please call Arts Midwest or check with your finance department. 2. Signed certification page downloaded from eGRANT. 3. A one-page letter of support for participation in this program from the partner library, if the applicant is not a library. If the applicant is a library, submit aone-page letter from a key partner organization. On behalf of my organization, I certify that all of the information submitted through my hard copy and eGRANT application is true to the best of my knowledge. Authorizing Official Signature Name (printed) Date Title Attachment number 2 MAIL TCI: The Big Read, Arts Midwest, 2908 Hennepin Aven Suite 200, Minneapolis, MN 55408, 612/ 238.80 0 ~~ age 143