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DocuSign Envelope ID:8D90A134-54E4-4686-915E-82C6COD24DCA <br /> I 0 Arts Program Grant — Fall <br /> rOf 2015-16 Application Form <br /> ORANGE COUNTY ARTS Orange County Arts Commission I <br /> COMMISSION i <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 1 <br /> Applicant Name �� Tta7 �o C Kl L <br /> Mailing Address In t`i b�c�' ,r�,. ,c. )SC.. , /'`i/i/ <br /> Daytime Phone ( I 1) 1 GO trel H Fax Number 14 f Kt. <br /> Email Address 6 Y 4 0 P% e.I% t wI1iE[.8>�1� W eb Site <br /> Project Director Car 5 o tR l'iG 6 te <br /> � (Title .X6 \h, Vitt.*r <br /> DUNS Number 0416,150 10 i I <br /> 2 Project Director Information ',ll I <br /> Project Director Home Address 1 Z I 41 1-441` �. C617 y 1ti�G �l 4>< <br /> Daytime Phone (1 1 9k) 1 1/42' B� Evening Phone (I� IA)551-.4110 <br /> Email Address car 5QV1 -111d i,s,,,tiw,...G, .prey i <br /> .I 1 <br /> 3 Grant Request Summary <br /> Arts Program Grant Request tit 115 df'f ' <br /> Total Cash Match * 1 0 n 0 <br /> Total Organizational Budget 2014-2015 W 3D?S: 21 Past Year <br /> 2015-2016 7 1 Current Year <br /> 2016-2017�i/ 11,11,6 Projected for Next Year <br /> Summary Statement for Proposed Uses of Arts Program Grant 1h 444j ear f r ea:-i c <br /> 40 (1)(1-(A41/4- 41 S'�114"r �. <br /> . _ „CA r t t‘t 1 veA. ► 0 hata4: I sue,.t.._ 69 <br /> f4,4. 40 W4 l CthiCr' ` is, G Vik 61- v4 , & <br /> r / <br /> E :f W G a_.,..:.i I. <br /> cs t It .401-44 64 to t, wrA► <br /> 9191968-2011—P.O. Box 1177, 131 West Margaret Lane, Hillsborough, N 278—www.artsorange.org <br />