Orange County NC Website
Browse       Search
DocuSign Envelope ID:684BD205-E201-4917-A887-C6D2D5CC92C7 <br /> I' <br /> Artist Project Grant - Spring <br /> 2015-16 Application Form <br /> ORANGE COUNTY ARTS <br /> COMMISSION Orange County Arts Commission <br /> Promoting the artistic and cultural development of Orange County, North Carolina <br /> 1 Artist Information <br /> Applicant Name Max Puhala <br /> Mailing Address 6123 Farrington Rd., M7,Chapel Hill, NC 27517 <br /> Daytime Phone 336-707-7356 Fax Number n/a <br /> Email Address max.puhala(cb-gmail.com Web Site www.pushplaysing.org <br /> DUNS Number 079823359 <br /> 2 Grant Request Summary <br /> Arts Program Grant Request $300 Total Cash Match $300 <br /> Summary Statement for Proposed Use of Arts Program Grant The grant will be used to rent a space to host <br /> six 1-hour participatory recorded music workshops for people with developmental disabilities served by The Arc of <br /> the Triangle. <br /> Mail or deliver signed original to the OCAC office, including work samples. Email PDF of application to <br /> arts @or gecountyn <br /> mist ignature Date Typed or Printed Artist Name Date <br />