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f,/ General Arts Support Grant <br /> 2012- 13 Application Form <br /> ORANGE COUNTY ARTS Orange County Arts Commission <br /> COMMISSION <br /> Promoting the artistic and cultural development of Orange County, North Carolina <br /> Evaluation Criteria <br /> • Artistic merit of program. <br /> • Populations served-impact for geographic&traditionally under-served populations. <br /> • Feasibility of proposed activity&effectiveness in fulfilling applicant's mission. <br /> • Organizational strength of applicant. <br /> • Cooperation between organization and artists. <br /> • Evidence of community support and responsiveness to community needs. <br /> I Applicant Information <br /> Applicant Name Deep Dish Theater Company <br /> Organization Mailing Address PO Box 4382 -A C Z 7 -Is <br /> Daytime Phone 15t,68 /5-/s F ax Number <br /> Email Address�ara C/1V!L0_-//S4 C. 0 U..., <br /> Project Director 'Ry u4 h e (1,C It- Title <br /> DUNS Number- / <br /> 2 Project Director Information (Director or Chair must be Project Director for the General Support grant category) <br /> Project Director Home Address /409 7-e24z#t C:L Ckzf-d 1411t , A)C- 2791 . <br /> -' <br /> Daytime Phone ?(q ZZS Zr'7!t Evening Phone <br /> Email Address T—_17k alag".0t,s <br /> 3 General Support Request Summary <br /> General Support Grant Request $5000 <br /> Total Cash Match at/If, r. !!t 5 _ (Match may not include funds from the North Carolina Arts Council) <br /> Total Organizational Budget 2010-2011 <br /> 2011-2012` 1-04 JP *r.5- <br /> 2012_2013,e_-e,Y-/ 4 *5: <br /> Summary Statement for Proposed Uses of General Support Grant To produce our 2012-2013 <br /> season of plays, including August Wilson's RADIO GOLF, SHE STOOPS TO CONQUER, the <br /> -Pulitzer Prize-winning musical NEXT TO NORMAL, and THE CRIPPLE OF INISHMAAN. <br /> Budget Sheet-See Page Three <br /> Questions? Call us at(919) 968-2011 - Deliver Application to: 501 West Franklin Street, Chapel Hill, NC <br /> I I mom <br />