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DocuSign Envelope ID:8COC6AOF-56EE-46F5-A733-01 0A357A1 EFA <br /> � --1♦ Arts in Education Grant Spring <br /> 2015- 16 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 Estes Hills Elementary School PTA <br /> Mailing Address 500 Estes Drive Chapel Hill NC 27514 <br /> Daytime Phone 919-942-4753 Fax Number 919-969-2475 <br /> Email Address courtneysnooks@yahoo.com Web Site www.chccs.k12.nc/estes <br /> Project Director Meredith Lassiter Title Cultural Enrichment Chair <br /> DUNS Number 109143768 <br /> 2 'Project Director Information <br /> Project Director Home Address 5 Tupelo Lane Chapel Hill, NC 27514 <br /> Daytime Phone 919-259-8873 Evening Phone 919-259-8873 <br /> Email Address iowameredithP-yahoo.com <br /> 3 Grant Request Summary <br /> Arts Program Grant Request $1,000.00 <br /> Total Cash Match $3,530.00 <br /> Total Organizational Budget 2013-2014 $3,289.00 <br /> (PTSA/Cultural Enrichment 2014-2015 $3,735.00 <br /> Committee/Arts Program) 2015-2016 $3,700.00 <br /> Summary Statement for Proposed Uses of Arts in Education Grant We will use the grant to fund a <br /> Portion of the artists' fees for six performances during the 2015-2016 school year: Red Herring Puppets <br /> (October 20 2015/$600 for two performances one for K-2nd & one for 3rd-5th): Mister G (November 12, <br /> 2015/$850 for one performance for K-2"d grade); Didgeridoo Down Under(January 8 2016/$780 for one <br /> performance for 3rd-5th grades); and The Beast(January 27th 2016/$850 for two performances, one for <br /> K-2nd&one for 3`d-V) <br /> 9191968-2011 —P.O. Box 1177, 131 West Margaret Lane, Hillsborough, NC 27278— www.artsorange.org <br />