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jf Arts Program Grant - Fa I 1 <br /> V <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 /> • Cooperation between organizations and artists. <br /> • Evidence of feasibility of program,community support, and responsiveness to community needs. <br /> • Emerging organizations are encouraged to apply. <br /> 1 Applicant Information <br /> Applicant Name 7 KA,�J _� I�0,ikk;n SJ'ree,+ <br /> Mailing Address /QL7 Fasfi 5t, S i. -le- to U `� I fi ii�fV� z-45-t"F <br /> Daytime Phone 91`i Fax Number 5Amr__ <br /> Email Address ;A-=v b?-CyabliK.s f. cah-I Web Site �fGtnG��sort, s,uQresoRG�: c�� <br /> Project Director ,-���-« 4ro ie r Title Co-or d,KA+3A�, <br /> 7�Pljn1K en em Aj e Pc-+7"s+ <br /> DUNS Number <br /> 2 Project Director Information <br /> Project Director Home Address 1,g c) WA d T�re s+ ('_re, H l a5t , <br /> Daytime Phone q/5-3&o-t3191 Evening Phone W?-3&a -87 9/ <br /> Email Address <br /> 3 Grant Request Summary <br /> Arts Program Grant Request 15-0, <br /> Total Cash Match�- 02 000 <br /> Total Organizational Budget 2011-2012 15-0,oo© Past Year <br /> 2012-2013 /5o,a e o Current Year <br /> 2013-2014 7-o ae- Projected for Next Year <br /> 04 'D-eeA n(oer $oq,,z l►l sl Pn�1 <br /> Summary Statement for Proposed Uses of Arts Program Grant n w e-4,.c� vr\AA <br /> Ot,N4-,�+�tC.�! !Y(iSS �v� �•�GC i5 re r sh � u�er�' rna�ei�-FS u.,�l Sknpl�c� -(off <br /> on V ixkr,Pa" /hrc�uP�i rC�SC D-i�SS=� �-�5 �r:,j c'c�� i.(f•=(� �.Q.F.'�?S t%LnL� f'.��.Ic�i�e�1 <br /> �--�Cu lar ly �w� w,� S�rse�p-P �uced.S: �ir� w,i\ Qtt�,,L%-�- �►�r a r-�-w c r tC =� O�r <br /> S-en cs o-F <br /> mrn%.&V1' I wall anJ_ Aos+ a �-ec p j�oA g,?d -CrA!21.5-(v Share <br /> Questions? Call 9191968-2011. Delivery address:501 West Franklin Street, Chapel Hill, NC 27516 <br />