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DocuSign Envelope ID:7080DFC8-BA1A-47A9-9950-70B5EADA298B <br /> I Arts Program Grant - Spring <br /> "'ti/ <br /> 00 , 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: Hillsborough Arts Council <br /> Mailing Address: 102 N Churton St, Hillsborough, NC, 272378 <br /> Daytime Phone: 9196432500 Fax Number: <br /> Email Address: Hdelisle @hillsboroughartscoucil.org Web Site:www.hillsboroughartscouncil.org_ <br /> Project Director: Heather Delisle <br /> DUNS Number: 830747544 <br /> 2 Project Director Information <br /> Project Director Home Address: <br /> 127 King Charles RD Hillsborough NC 27278 919-732-8324 <br /> Evening Phones: Same <br /> Email Address: Hdelisle @hillsboroughartscoucil.org <br /> 3 Grant Request Summary <br /> Arts Program Grant Request: $1500 <br /> Total Cash Match: $1637 <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 /> This grant request is to help fund the promotion of the Hillsborough Art Walk Last Fridays <br /> 919/968-2011 — 131 West Margaret Lane, Room 216, Hillsborough, NC 27278—www.artsorange.org <br />