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DocuSign Envelope ID: BE866E89-1A7E-4ACC-80F3-145CB52C649E <br /> 1 I, <br /> ♦ -1♦ Arts in Education Grant - Fall <br /> G 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 providing high-impact arts experiences in schools. <br /> • Cooperation between schools and artists. <br /> • Evidence of feasibility of program, community support, and responsiveness to community needs. <br /> • Integration of arts program into grade-level appropriate curriculum. <br /> 1 Applicant Information <br /> Applicant Name Phillips Middle School PTSA <br /> Mailing Address 606 N. Estes Drive, Chapel Hill 27514 <br /> Daytime Phone (919) 929-2188 Fax Number (919) 969-2477 <br /> Email Address smithgirl1969(d)-gmail.com Web Site www.chccs.kl2.nc.us/phillips <br /> Project Director Cristina Smith Title Cultural Enrichment Co-Chair <br /> DUNS Number 109143768 <br /> 2 Project Director Information <br /> Project Director Home Address 712 Emory Drive, Chapel Hill 27517 <br /> Daytime Phone (919)265-4766 Evening Phone same <br /> Email Address smithgirl1969Ca)-gmail.com <br /> 3 Grant Request Summary <br /> Arts Program Grant Request $1000.00 <br /> Total Cash Match $1,025.00 <br /> Total Organizational Budget 2013-2014 $2,940.00 <br /> (PTSA/Cultural Enrichment 2014-2015 $2,725.00 <br /> Committee/Arts Program) 2015-2016 Will provide after summer 2015 vote <br /> Summary Statement for Proposed Uses of Arts in Education Grant Phillips Middle School PTSA will <br /> use the grant to fund a portion of the artist's fees for three artistic performances during the 2015 calendar <br /> year: <br /> Friday, February 20, Sound Impact, two performances (7th and 8th graders) $1,525 <br /> Sprinq date TBA, Charles Pettee(6th-graders) $500 <br /> Questions? Call 9191968-2011. Delivery address: 501 West Franklin Street, Chill, NC 27516 <br />