Orange County NC Website
Browse       Search
DocuSign Envelope ID:8098AFC6-0436-4DCB-B911-252527D 189DE <br /> 5. APPLICATION CHECKLIST (in this order;do not staple, bind, or put into individual folders) <br /> One copy: sided,8 1/2"x 11", white paper <br /> ❑ Application Form, including signatures <br /> ❑ Narrative <br /> ❑ Budget Sheet <br /> ❑ Itemized Budget(if necessary) <br /> ❑ Resumes of key artists and administrators involved in grant funded program(s) <br /> ❑ Organizational Budget for current AND past two fiscal years <br /> ❑ Artist contact list,including names,address, phone numbers,and email (if applicable)of all <br /> artists involved in grant funded activities <br /> ❑ Staff roster of all school art&music teachers with position title(s). <br /> ❑ Board contact list,including names,address, phone numbers,and email(if applicable)of <br /> organization's board of directors <br /> ❑ Copy of IRS Tax Exemption Letter, if private school <br /> ❑ Sample programs, press,or other materials from this or similar past programs <br /> ❑ Sample work by artist(labeled with artists'name,title of work,date of work) produced in the <br /> last three years: <br /> o Visual artists: CD, DVD,or high resolution photographs(5-10 images).Clearly label each <br /> piece with dimensions and media and indicate top of image <br /> o Dance or theater artist: CD or DVD, or link to high-quality online video(3-5 minutes) <br /> o Music and spoken word:CD, MP3 or link to high-quality online video(3-5 minutes) <br /> o Literary arts: Manuscript(10-15 pages)submitted by.pdf or hard copy <br /> 6. SIGNATURES <br /> 1r <br /> Typed or Printed Name–Project Direct,.r: 0 C ifee442— <br /> 3'0 -01L <br /> Signaf Project Director Date <br /> Typed or Printed Name–Authorizing Official: Da rid IInmtriy el I' <br /> Zin,fHikeirvEt-- i 1 . 36 .2616) <br /> Signature of Authorizing Official Date <br /> is <br />