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DocuSign Envelope ID:8AA3BC1F-B680-4976-AB39-E8045449CDA3 <br /> // Arts in Education Grant - Spring <br /> � <br /> 2015- 16 Application Form <br /> ORANGE COUNTY ARTSS 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 fulfilling applicant's mission. <br /> • Cooperation between organizations and artists. <br /> • Evidence of feasibility of program, community support, and responsiveness to community needs. <br /> • Emerging organizations are encouraged to apply. <br /> 1 Applicant Information <br /> Applicant Name Chapel Hill-Carrboro Public School Foundation <br /> Mailing Address PO Box 877 Carrboro NC 27510 <br /> Daytime Phone 919-968-8819 Fax Number 919-968-7884 <br /> Email Address psf @chccs.kl2.nc.us Web Site www.publicschoolfoundation.org <br /> Project Director Lynn Lehmann Title Program Services Manager <br /> DUNS Number 182048145 <br /> 2 Project Director Information <br /> Project Director Home Address 8700 Drew Lane, Chapel Hill, NC 27516 <br /> Daytime Phone 919-968-8819 Evening Phone 919-968-3925 <br /> Email Address llehmann @chccs.kl2.nc.us <br /> 3 Grant Request Summary <br /> Arts Program Grant Request $1,000 <br /> Total Cash Match $1,000 <br /> Total Organizational Budget 2013-2014 $249,148 Past Year <br /> 2014-2015 $308,200 Current Year <br /> 2015-2016 __ $317,049 Projected for Next Year <br /> Summary Statement for Proposed Uses of Arts Program Grant: The protect will allow students at Northside <br /> Elementary School to meet and learn from acclaimed African-American author/illustrator Don Tate. Through <br /> a school-wide project serving approximately 523 students and 50 staff, Northside students will engage in a <br /> common story and create poetry to share with others both within and outside the school community. Funds <br /> for the project will pay for the author's appearance fee and provide copies of his books (purchased at a <br /> substantial discount)for use by students and teachers for years to come. <br /> 9191968-2011 —P.O. Box 1177, 131 West Margaret Lane, Hillsborough, NC 27278—www.artsorange.org <br />