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j/ Artist Project Grant - Fall <br /> G 2013-14 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 /> 1 Artist Information <br /> Applicant Name -T21s 7W' A l>,55 AJ 0114RI141410 <br /> Mailing Address 4:Ql v �l/NA _ � ✓ �� <br /> Daytime Phone �f9- �� Fax Number <br /> t <br /> Email Address rl� q /� /=C`LYe+)IVeb Site �j <br /> DUNS Number // /__J rat 9)3-16 <br /> 2 Grant Request Summary <br /> Arts Program Grant Request J310 0 Total Cash Match <br /> Summary Statement for Proposed Use of Arts Program Grant E P 9- 7-0 Ga/hUr19/til�J� ht <br /> 4 Narrative <br /> Write a description, up to three pages,single spaced,that describes the following under separate subheadings: <br /> • Proposed Project—what will you do,where will it be performed or displayed,when will the preparations <br /> and public component take place, list any organizational partners. <br /> • Community Impact—describe the project's public component, how many people will be impacted. <br /> • Artist Experience—include a brief description of your similar arts projects in the past. <br /> 5 Application Checklist(in this order, do not staple, bind, or put into individual folders) <br /> 1 copy each: (Only 1 sided, 8 112"x 19, white paper) <br /> • Application Form, Page One, Including Signature <br /> • Narrative <br /> • Budget Sheet <br /> • Itemized Budget(if necessary) <br /> • Resumes of artist(s). <br /> 1 copy each: <br /> • Sample programs, press,or other materials from this or similar past programs. <br /> • Sample work by artist produced in the last three years: <br /> For example,for visual arts submit a PC-compatible CD or DVD, slides or high quality photographs(5-10 <br /> images); for dance or theater arts submit a PC-compatible CD or DVD,or video tape(3-5 minute sample);for <br /> music and spoken word submit a PC-compatible CD or DVD, or audio tape(1-2 selections); for literary arts <br /> submit a manuscript(10-15 pages). <br /> Label all sample work with artists'/organizations'name,title of work(s), date of work. For visual arts include <br /> sheet with work dimensions, media. Indicate top of image. <br /> J 1` is f• <br /> Arti Signat Y412a_tea_�Typed or Printed Artfst Name <br /> INCO LETE APPLICATIONS WILL NOT BE FUNDED <br /> Questions? Call 9191968-2011. Delivery address.501 West Franklin Street, Chapel Hill, NC 27516 <br />