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DocuSign Envelope ID: 32D5DFOB-2201-494E-993F-C356323EDD56 <br /> I I FALL 2016 <br /> ARTIST PROJECT GRANT <br /> ORANGE COUNTY ARTS APPLICATION FORM <br /> COMMtSS1ON <br /> 1. ARTIST INFORMATION <br /> • <br /> Applicant Name Francesca Talenti <br /> Mailing Address 700 Orange High School Road, Hillsborough, NC 27278 <br /> Daytime Phone 919-923-7720 Email Address fptalenti @gmail.com <br /> Web Site www.FrancescaTalenti.com DUNS Number 080469736 <br /> 2. GRANT REQUEST SUMMARY <br /> Artist Project Grant Request $ 1,000 Total Cash Match $ 1,000 <br /> Title of proposed grant program or project: Rap'unzel <br /> 3. NARRATIVE <br /> Write a description (no more than three pages, single spaced)that describes the following under !' <br /> separate subheadings: <br /> • Proposed project—what will you do,where will it be performed or displayed,when will the <br /> preparations and public component take place, list any organizational partners. <br /> • Community impact—describe the project's public component, how many people will be <br /> impacted. <br /> • Artist experience—include a brief description of your similar arts projects in the past. <br /> 4. APPLICATION CHECKLIST(in this order;do not staple, bind, or put into individual folders) <br /> One copy:1 sided,81/2"x 1r, white paper <br /> Application Form,including signature <br /> Narrative <br /> Budget Sheet <br /> Itemized Budget (if necessary) <br /> Resumes of artist(s) <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 <br /> in the last three years: <br /> • Visual arts:CD, DVD,or high resolution photographs(5-10 images). Clearly label <br /> each piece with dimensions and media and indicate top of image <br /> ■ Dance/theater: CD or DVD, or link to high-quality online video(3-5 minutes) <br /> • Music/spoken word:CID, MP3 or link to high-quality online video(3-5 minutes) <br /> • Literary arts: Manuscript(10-15 pages)submitted as.pdf file or hard copy <br /> T <br /> 12-124 2-D/ <br /> FRANCESCA TALENT! <br /> Artist Signature Date Typed or Printed Artist Name <br />