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DocuSign Envelope ID:4CB7473F-4B13-4A9C-A9FF-64745B8579B8 <br /> I I/ Artist Project Grant - Fall <br /> Z -r/ <br /> cv; 2014- 15 Application Form <br /> ORANGt COUNTY ARTS Orange County Arts Commission <br /> COMMISSION <br /> Promoting the artisSc and cultural development of Orange County, North Carolina <br /> 1 Artist Information <br /> Applicant Name Barbara Tyroler <br /> Mailing Address 120 Old Forest Creek Dr Chapel Hill, NC 27514 <br /> Daytime Phone 919-360-8791 <br /> Email Address btyroler @mac.com Web site www.barbaratyroler.com <br /> DUNS Number 111705807 <br /> 2 Grant Request Summary <br /> Arts Program Grant Request $1000 Total Cash Match $2700 <br /> Summary Statement for Proposed Use of Arts Program Grant <br /> Interactive Portraiture in Identity Explorations and the Creative Process,an Encounter with Neurodiversity <br /> I am submitting this proposal for the 2014-2015 fall grant season for artist fees,materials, and supplies to <br /> support an exhibition and public community forum with an emerging artist diagnosed with high functioning <br /> Autism. In collaboration with a self-advocacy leadership program for adults with neurodevelopmental and <br /> related disorders,we will produce a collaborative portrait with text and multimedia collage. I will mentor her to <br /> produce a cohesive body of her own personal artwork exhibited in conjunction with activities designed to <br /> encourage understanding and inclusivity of Autism through creative expression in the arts. <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 and public <br /> 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 1/2"x 11° 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 images); for dance or <br /> theater arts submit a PC-compatible CD or DVD, or video tape(3-5 minute sample); for music and spoken word submit a PC- <br /> compatible CD or DVD, or audio tape(1-2 selections); for literary arts 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 sheet with work <br /> dimensions, media. Indicate top of image. <br /> Barbara J Tyroler(see original) Barbara J Tyroler, 11/17/14 <br />