3. Please provide a brief description of the activity you were funded to undertake as described to us in your original application:

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1 To fulfil our monitoring needs and to help us assess the impact of our funding, please complete and return this form to us within two months of concluding your funded activity. Please type this form if possible. If you hand write it, please do so using BLACK INK and BLOCK CAPITALS throughout. You may reproduce the questions, with answers, on your own word-processing system if you prefer. However, you must type the questions above your answers and use the same numbers as on this form. The form is also available in Microsoft Word format on floppy disk or as a downloadable file on our website ( However, we cannot be responsible for any changes to your computer systems that result from using either of these two formats. Funded activity 1. Applicant Name: 2. Your grant reference number (you will find this on the grant offer letter): 3. Please provide a brief description of the activity you were funded to undertake as described to us in your original application: 4. Please give the start and finish dates for the funded activity: Start date: / / End date: / / If these were not the dates you originally planned, please outline briefly the reason for the change and describe the impact the change had on your project, if any: 5. Please tell us where your project took place. If not the location/s you originally planned, please outline briefly the reason for the change: 6. Please describe how the activity has benefited: the public; you/ your organisation; and/ or your sector and describe the extent to which the outcomes were as you originally predicted (please refer to your original application). Please also highlight any unanticipated outcomes. (Please continue on a separate page if necessary.) 7. As part of your original application, you provided us with estimated figures to help us describe and quantify the contribution that the arts is making. Now that your project is complete, we would be grateful if you could give us actual figures for how many people benefited from your activity. Where categories

2 are not applicable to your project please mark N/A. Note: if you applied to us as an individual, please move straight to Question 8. Performances Number of performances (please do not include education or outreach events): Total attendances at performances (please include paid for and free): Number of exhibitions: Exhibitions Total attendances at exhibitions (please include paid for and free): Education/ outreach (Please count each event once only ie. if your organisation ran a workshop lasting 10 weeks this would be counted as 1 event) Number of school/ community workshops: Number of schools performances: Other, please specify: Total number of participants (see note below): Note: please count attendances in terms of the total number of attendance days. Eg. if your organisation ran a daytime workshop, Monday-Friday for 5 weeks and 10 people took part every day, this would count as 250 attendance days. Events taking place in mornings only, afternoons only, or evenings only would count as half a day. How many jobs were created through your project? (assume that part-time employees work 16 hours per week or less and that temporary workers include f seasonal and those employed on self-employed contracts.) Full-time: Part-time: Temporary: Permanent: How many volunteers worked on your project? How many new commissions resulted from your project? (original work which would not have occurred without your project 8. Please provide the following summary budget information and send a certified financial statement using the attached form. forecast total project cost: actual total project cost: If there were any significant changes (over 10% variation) between actual and forecast figures, please detail these below. If costs increased, please tell us how you managed the shortfall:

3 If partnership funding was outstanding at the time of award, please tell us if you achieved it as hoped and from where. If not fully achieved, please tell us how you managed the shortfall: Please note: when the final amount of your grant is calculated, if the project has achieved a surplus of funds because costs have reduced or income from other sources has increased, we will reduce our final payment or ask you to repay any overpaid sums as appropriate. 9. Please summarise the ways in which you have acknowledged that your project was funded by the Scottish Arts Council and attach an example, such as publicity or a press release, etc.: Please describe the marketing activity which took place for your project and tell us if it was effective in reaching the people your project was aimed at? 10. Please summarise what you think the long-term benefits of your project will be, if any. 11. Please provide any other feedback on your funded activity which you consider relevant, or which we have specifically requested as a special condition of funding (please refer to your offer letter): 12. If you have produced anything as a result of your project, please send us a photo, copy of the publication, CD Rom, etc. as relevant. Please send any additional supplementary information you think we would find of interest. This could be a summary of audience feedback, sample copies of press cuttings, etc. Please list here the items you have enclosed with your end of project report: * please note: images submitted in support of your application may be stored electronically by us and they may be reproduced in Scottish Arts Council publications and on our website. Please mark here if you would prefer that we do not use these images for this purpose.

4 Application and grant giving process 13. Did you find the application and grant giving process clear? YES/ NO 14. Please give any general comments on the application and grant giving process which will help us improve our service. Signature: Date: Important information Openness and accountability Information supplied by you will be held in manual files. It will then be summarised and details transferred to a computer-based grants management system. Reports from the information you supply and from any comments made by external assessors and staff members are likely to be held on both manual and computer-based systems. The information you supply will be made available to those assessing any other grant applications you make. Data protection Data held on our grants management system is used for statistical and accounting purposes. We view your signature on your application form as acceptance of the use of your data outlined above. Thank you for taking the time to complete this form. Please return it to: Grants Administration, Scottish Arts Council, 12 Manor Place, Edinburgh EH3 7DD

5 Certified income and expenditure statement APPENDIX 1 Name of applicant: Grant reference: Please include all income and expenditure, both cash and in-kind, using the headings given in your application form and in the same order. Where headings include a number of different types of expenditure, you should provide a breakdown showing how the figure has been arrived at. Please provide explanations of any significant variations between budget and actual (greater than 10%) in question 8 in the end of project monitoring report. If you need to use additional pages please include the grant reference number on each page. Income Expenditure Source Budget ( ) Actual ( ) Item Budget ( ) Actual ( ) Total Total Total surplus/ deficit on the project (actual income less actual expenditure): Signed: Date: Printed name: Position (if signing on behalf on an organisation):