Orange County NC Website
Browse       Search
DocuSign Envelope ID:AD5F5195-5261-42DC-B9BC-0C3A2C0AA716 <br /> Artist Project Grant - Spring <br /> No/ <br /> 2016- 17 Application Form <br /> Orange County Arts Commission <br /> ORANGE COUNTY ARTS <br /> COMMISSION <br /> Promoting the artistic and cultural development of Orange County, North Carolina <br /> 1 Artist Information <br /> Applicant Name <br /> Mailing Address I IL h0 T,2 r1-1L Ch pc._I N C 21 5 6 <br /> Daytime Phone 3)C -434-1D -63-77 -2N Fax Number o <br /> Email Address'S I rvic• e TA) FAe_ m , Z-Web Site 12U17.1)1-e--vAlt-c. n_sgt:C. <br /> DUNS Number 0 7 3 30'4- 0 D. ' <br /> 2 Grant Request Summary <br /> Arts Program Grant Request /6c, 0 Total Cash Match g/000 <br /> Summary Statement for Proposed Use of Arts Program Grant PrAltill4.4■4-s o Jor4lidat_ PbohD <br /> 12e.slro r AA-10 ea el i5;4-i'-ze.:"5 <br /> 3 Narrative <br /> Write a description, up to three pages, single spaced, that describes the following under separate subheadings: <br /> • Proposed Project—what will you do, where will it be performed or displayed, when will the preparations <br /> and public component take place, list any organizational partners. <br /> • Community Impact—describe the project's public component, how many people will be impacted. <br /> • Artist Experience—include a brief description of your similar arts projects in the past. <br /> 4 Application Checklist (in this order; do not staple, bind, or put into individual folders) <br /> 1 copy each: (only 1 sided, 8 1/2"x 11", white paper)and 1 complete electronic copy(in PDF format): <br /> vie Application Form, Page One, Including Signature <br /> Narrative <br /> tft Budget Sheet <br /> k./ Itemized Budget (if necessary) <br /> Resumes of artist(s). <br /> Sample programs, press, or other materials from this or similar past programs. <br /> Sample work by artist produced in the last three years: <br /> For example, for visual arts submit a PC-compatible CD or DVD, slides or high quality photographs (5-10 images); <br /> for dance or theater arts submit a PC-compatible CD or DVD, or video tape (3-5 minute sample); for music and <br /> spoken word submit a PC-compatible CD or DVD, or audio tape (1-2 selections); for literary arts submit a <br /> manuscript (10-15 pages). <br /> Label all sample work with artists/organizations' name, title of work(s), date of work. For visual arts include sheet <br /> with work dimensions, media. Indicate top of image. <br /> Mail or deliver signed original to the OCAC office, including work samples, Email PDF of application to <br /> arts@orangecountync.gov. <br /> 61 7 <br /> SU tv Ir1Ofl <br /> Artist Signature Date Typed or Printed Artist Name <br /> INCOMPLETE APPLICATIONS WILL NOT BE FUNDED <br /> 919/968-2011 - 131 West Margaret Lane, Room 216, Hillsborough, NC 27278— www.artsorange.org <br />