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DocuSign Envelope ID: E52618AO-EFC6-4E5D-922A-40530CDA41EF <br /> Artist Project Grant Fall <br /> c, 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 <br /> Applicant Name Sarah Comette <br /> Mailing Address 468 Deer Path Chapel Hill, NC 27516 <br /> Daytime Phone 919-971-4643 Fax Number <br /> Email Address sarahecornette(c0mail.com Web Site <br /> DUNS Number 07 960 3761 <br /> 2 Grant Request Summary <br /> Arts Program Grant Request $998.44 Total Cash Match $1000 <br /> Summary Statement for Proposed Use of Arts Program Grant To create a collaborative and culturally relevant <br /> tiled mural for the community of Scroggs Elementary School <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 11'; white paper) <br /> P,*o" Application Form, Page One, Including Signature <br /> t4" Narrative <br /> w" 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 dimensidins, media. Indicate top of image. <br /> Artist Signat a Date Typed or Printed Artist Name <br />