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DocuSign Envelope ID: D56DCOA7-C58E-4C6B-BARE-180311 DE01 FC <br /> f/ Arts Program Grant - Fa I I <br /> 2014-15 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 Hillsborough Arts Council <br /> Mailing Address 102 N Churton St, Hillsborough, NC 27278 <br /> Daytime Phone 919-643-2500 Fax Number <br /> Email Address info()-HillsboroughArtsCouncil.org Web Site www.HillsboroughArtsCouncil.org <br /> Project Director Gail Cooley Title Treasurer <br /> DUNS Number 830747544 <br /> 2 Project Director Information <br /> Project Director Home Address 424 Stone Currie Dr, Hillsborough, NC 27278 <br /> Daytime Phone H: 919-969-8478 M: 919-606-9837 Evening Phone same <br /> Email Address ghcooleva-msn.com <br /> 3 Grant Request Summary <br /> Arts Program Grant Request $1,500 <br /> Total Cash Match $21,500 <br /> Total Organizational Budget 2013-2014 $66,400 Past Year <br /> 2014-2015 $85,900 Current Year <br /> 2015-2016 $88,540 Projected for Next Year <br /> Summary Statement for Proposed Uses of Arts Program Grant Expenses related to construction of <br /> Stickwork sculpture in Hillsborough by Patrick Dougherty in November 2015. <br /> Questions? Call 9191968-2011. Delivery address; 501 West Franklin Street, Chapel Hill, NC 27516 <br />