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Arts Contract and Grant Reporting FY19

  1. Welcome!

    You are receiving this form as part of your grant or contract agreement with the City of Dubuque. As a partner in community efforts to advance equity and inclusion, we are interested in the efforts you are making, the outcomes your are achieving, and ways that we can support one another. Please take a few minutes to complete this form. If you have any questions or concerns, please contact Kelly Larson at klarson@cityofdubuque.org or 563-589-4190. Thank you for working with us!

  2. Please read the questions below carefully, and think about the ways in which your responses do or do not indicate successful efforts to advance equity and inclusion in the community.

  3. Please check the primary City Council goal your project contributes toward:*

  4. Please check the location(s) or service area(s) for your project*

  5. Planning Process

    The following questions relate to the planning process used for your program.

  6. Targeted Planning and Outreach*

    Identify whether you were intentional in involving any of the following populations in your planning process.

  7. Outreach and Marketing

    The following questions relate to the outreach and marketing conducted for your project

  8. Targeted Planning and Outreach*

    Identify whether you were intentional in involving any of the following populations in your marketing and outreach process.

  9. Participation and Feedback

    The following questions relate to participation in your program and feedback received

  10. Check the degree to which program/event participants were reasonably representative of the demographic makeup of the community*

  11. The following questions relate to the degree to which you achieved your program goals

  12. The following questions relate to participation in Inclusive Dubuque and Ongoing Learning Opportunities

  13. Check all of the ways in which you have participated in Inclusive Dubuque*

  14. Indicate whether you have completed any of the following workshops*

  15. A HUGE THANK YOU!

    Please note that once you submit this form, you will receive a confirmation e-mail. If you are the recipient of a community development block grant and/or an arts grant, the confirmation e-mail will contain a link to an additional form to be completed.

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  17. This field is not part of the form submission.