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DocuSign Envelope ID: 7D323FEA-418F-42CB-B5B9-994EE4762726 <br /> I Arts Program Grant - Spring <br /> N / <br /> 2016-17 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 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 _ -+rca ,hh ark VeriturtS <br /> Mailing Address '2 L • t Ilio 22 a ve JJ(, 2151'1 <br /> Daytime Phone 9 qg (s--4 1 o 0 Fax Number <br /> Email Address Lu ,e,`D vaorttyittni vervtvi-es•cr-9 Web Site eVIIC . 0111 <br /> Project Director 1-11A EhotiC Title SO Ci a I 17 1 arris oirfci-oy <br /> DUNS Number 91 0 355 30 <br /> 2 Project Director Information <br /> Project Director Home Address 15 Cklitv-C/1/till al( CAA_kt-pel rh NC 2-1511 <br /> Daytime Phone Li 0 - W23 Evening Phone <br /> Email Address 1-11(iitiO cO t()%ell <br /> 3 Grant Request Summary <br /> Arts Program Grant Request IC 151) <br /> Total Cash Match 4 2 E4 <br /> Total Organizational Budget 2014-2015 to (9 1 c( I Past Year <br /> 2015-2016 1114 ) ' Current Year <br /> 2016-2017 -3- 4 ) arb Projected for Next Year <br /> Summary Statement for Proposed Uses of Arts Program Grant FVVIti IL Y-tritt <br /> 0 MYNA frA m rev ss / f S tviti PS -fg ok, ac ScSSi 15),‘ evbjra)Y1 <br /> ahlt ApAel,tif cfAid91144 par 41t;19/14/1. 6artil Lai <br /> CtLeAg --V\v‘e,Ac 0;1 1'1 16-e-3- alf\kt 14-4V;exe 4\17911 tk, <br /> - <br /> -,Nvd_ I•kfiGyt orn Atu, covnviewyt,t cali.tel Avk ffpc& A--11 <br /> 919/968-2011 - 131 West Margaret Lane, Room 216, Hillsborough, NC 27278-www.artsorange.org <br />