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DocuSign Envelope ID: 16EA11A7-56F9-4B2E-875D-257F8FC28995 <br /> I Program Grant - Spring <br /> G 2016- 17 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: Hillsborough Arts Council <br /> Mailing Address: 102 N Churton St, Hillsborough, NC, 272378 <br /> Daytime Phone: 9196432500 Fax Number: <br /> Email Address: tinka.jordy(a�gmail.com Web Site:www.hillsboroughartscouncil.org <br /> Project Director: Tinka Jordy_ <br /> DUNS Number: 830747544 <br /> 2 Project Director Information <br /> Project Director Home Address: <br /> 1902 Borland Rd Hillsborough NC 27278 <br /> Evening Phones: 919 757 2181 <br /> Email Address:tinka.jordy @gmail.com <br /> 3 Grant Request Summary <br /> Arts Program Grant Request: $1500 <br /> Total Cash Match 10,770. <br /> Total Organizational Budget 2014-2015:$112,093 Past Year <br /> 2015-2016: $108,315 Current Year <br /> 2016-2017: $123,500 Projected for Next Year <br /> Summary Statement for Proposed Uses of Arts Program Grant: <br /> The purposed use of this grant is to partially fund the Hillsborough Handmade Parade for puppetmaking <br /> materials performers and coordinator support <br /> 919/968-2011 — 131 West Margaret Lane, Room 216, Hillsborough, NC 27278— www.artsorange.org <br />