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DocuSign Envelope ID:9020A6ED-452A-4E45-90D6-6EA531 E010E2 <br /> Arts Program Grant -- Fall <br /> 2015-16 Application Form <br /> Orange County Arts Commission <br /> Promoting the artistic and cultural development of Orange County,North Carolina <br /> 1 Applicant Information <br /> Applicant Name Chapel Hill-Carrboro Public School Foundation <br /> Mailing Address P. O. Box 877 <br /> Daytime Phone 919-967-8211 ext. 28376 Fax Number 919-968-7884 <br /> Email Address nzeman@chccs.1(12.nc.us Web Site publicschoolfoundation.orq <br /> Project Director Nancy Zeman Title Program Services Manager <br /> DUNS Number <br /> 182048145 <br /> 2 Project Director Information <br /> Project Director Home Address 106 Quailview Drive, Chapel Hill, NC 27516 <br /> Daytime Phone 919-225-0075 Evening Phone 919-967-2571 <br /> Email Address nzemanachccs.k12.nc.us <br /> 3 Grant Request Summary <br /> Arts Program Grant Request $1000 <br /> Total Cash Match $1000 <br /> Total Organizational Budget 2014-2015 303,839 Past Year <br /> 2015-2016 $325.030 Current Year <br /> 2016-2017 $340,000 Projected for Next Year <br /> Summary Statement for Proposed Uses of Arts Program Grant: The Art Teacher at <br /> Ephesus Elementary School will begin an after-school art club that will serve students who <br /> would benefit from the opportunity to experience success at school in a non-core area of <br /> curriculum. <br /> 919/968-2011 —P.O. Box 1177, 131 West Margaret Lane, Hillsborough, NC 27278— <br /> www.artsorange.org <br />