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DocuSign Envelope ID:8098AFC6-0436-4DCB-B911-252527D 189DE <br /> 11 <br /> ` dri-N FALL 2016 <br /> G <br /> ORANGE COUNTY ARTS ARTS IN EDUCATION GRANT <br /> COMMISSION APPLICATION FORM <br /> 1. APPLICANT INFORMATION <br /> Applicant Name r '\ C ,..-,� ,1 �- i— - Let C P <br /> Mailing Address Ice; i 9 <br /> Daytime Phone ( i - c l , 7 I fi S Email Address ,c;(3°' t ( <1 ,e ai 1 , C <br /> Web Site ZS,e` t i DUNS Number , `-r/ % (.2 1 <br /> 2. PROJECT DIRECTOR INFORMATION <br /> Project Director Name i° A)°"' eiefe Title , :=eg (j° ee- <br /> Home Address: ii °> H:.`", ' "` 13:1 r pai Hui , '` <br /> Daytime Phone ` - (j ( g - Evening Phone 91 Cr7 d ., <br /> Email ( r°. °"n e 0,1,1 tx3 . 1 . . i DUNS Number (7` 10 C ,>` <br /> 3. GRANT REQUEST SUMMARY <br /> Arts Program Grant Request $ ( 00. (.it) Total Cash Match $ b , <br /> Total Organizational Budget Past Year ,, <br /> (Including PTSA/Cultural Current Year `- > <br /> Enrichment/Arts Program) Projected for Next Year .5 0. , 0(` <br /> Summary Statement for Proposed Uses of Arts Program Grant: 13,10 z° (l - 1r i ytel is i-vi: ( <br /> t=Lt{€f § ` r B kr elf() r'$ 'F &I i P1vt Vu, ir( 11 ? tg ;'7? f' t ' (-)-(L`v,7t- k ; 1tj t <br /> - - Ea rl' 4"tt ' '11.c I T i',Lirrr!StAhArSia ewer .. . d' ° -ill if G <br /> pF es'e= - f,-.0 w r / U `r " - itt,i <br /> 4. NARRATIVE <br /> Write a description (no more than three pages,single spaced)that describes the following under <br /> separate subheadings: <br /> • School profile-a brief overview of population and services. <br /> • School's arts programs-a brief list. <br /> • Proposed uses of grant funds-description, including location,date,artists involved. Include <br /> information concerning whether you have undertaken similar activities in the past. Include <br /> approximate number of audience per program;geography of audience; mix of race,ethnicity, <br /> age,and gender. Discuss how arts program will be integrated into the curriculum. <br />