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DocuSign Envelope ID: 1596E7A3-E36D-435A-8F23-BABF53FOAFC8 Estes Hills Elementary School, Page 1 of 15 <br /> - �- Arts in Education Grant - �����^��� <br /> � ���' ^ ^^ �^~ ^^ ^ ~-~~~~~~~~�^~~^ ^ ~~^ ~~^ ^� ~~�~^ ^^ ^:� <br /> �� <br /> 2016- 17 Application Form <br /> ~ rm <br /> ORANGE COUNTY ARTS <br /> COMMISSION Orange County Arts ��������^��^��� <br /> ~~ . .~. .��~~ ~~.~.~. .�� . .. �^~ ~~.~. . .. . ..^~^~..~. . <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 providing high-impact arts experiences in schools. <br /> • Cooperation between schools and artists. <br /> • Evidence of feasibility of program, community support, and responsiveness to community needs. <br /> • Integration of arts program into grade-level appropriate curriculum. <br /> 1 Applicant Information <br /> Applicant Name Estes Hills Elementary School PTA <br /> Mailing Address 500 Estes Drive, Chapel Hill, NC 27514 <br /> Daytime Phone 919-942-4753 Fax Number 919-989-2475 <br /> Email Address eUzebeth1homee@gmeil.00m Web Site www.ohooe.k12.no/eetee <br /> Project Director Meredith Lassiter Title Cultural Enrichment Chair <br /> DUNS Number 109143768 <br /> 2 Project Director Information <br /> Project Director Home Address 5 Tupelo Lane, Chapel Hill, NC 27514 <br /> Daytime Phone 919-259-8873 Evening Phone 919-259-8873 <br /> Email Address iowemeredith@yehoo.00m <br /> 3 Grant Request Summary <br /> Arts Program Grant Request $1,000.00 <br /> Total Cash Match $3,500.00 <br /> Total Organizational Budget 2014-2015 $3,735.00 <br /> (PTS/VCultunalEnriohment 2015-2018 $3,700.00 <br /> Committee/Arts Program) 2016-2017 $3,500.00 <br /> Summary Statement for Proposed Uses of Arts in Education Grant We will use the grant to fund a <br /> portion of the artists'fees for eight performances during the 2016-2017 school year: David Gonzalez(Oc- <br /> tober 25, 2016/$1450 for two performances, one for K-2nd &one for 3rd-5 m); NunikoYamemoto (Novem- <br /> ber15. 2018/$1500forbwoperfonmenoee. oneforN-2 nu & one for 3rd-5 m); CherleePettee (Jenuery10. <br /> 2017/$800 for two performances, one for N-2 n« &one for 3rd-5th); Bright Star Children's Theatre (March 1, <br /> u017/$750 for two performances,one for n'u"«&one for 3m'5m) <br /> 919/968-2011 — 131 West Margaret Lane, Room 216, Hillsborough, NC 27278— www.artsorange.org <br />