Orange County NC Website
DocuSign Envelope ID:6368FECC-3C91-49C7-983E-AA65A76D339E <br /> Artist Project Grant ® Fall <br /> v 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 /> 1 Artist Information pp � � <br /> Applicant Name G i N SAY -- CNN LEAcif Q<_ fy -KS <br /> Mailing Address 9361 F�LA-1 P— ,i O.Hrrl rL u , Nf, 0-7S-1(,0 <br /> Daytime Phone q-1,9--2411 -Q/0 Q Fax Number P LG(- <br /> Email Address LAL-PIU--te- � C Lt �qm��i Q� Web Site Lvw u, C'om <br /> ('V-kn <br /> DUNS Number 0 79 1l-0/ 0 7�2, <br /> 2 Grant Request Summary <br /> Arts Program Grant Request 9/660 Total Cash Match 8 <br /> Summary Statement for Proposed Use of Arts Program Grant'L'O9bINC7 akVC Pe oleMl q-NaZ7,` TIZ i u <br /> 4 Narrative CwqMPCX fnztslc: <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 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 <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 /> Artist ig ture Date Typed or Printed Artist Name <br /> INCOMPLETE APPLICATIONS WILL NOT BE FUNDED <br /> Questions? Call 9191968-2011. Delivery address:501 West Franklin Street, Chapel Hill, NC 27516 <br />