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DocuSign Envelope ID:25B97CDA-7AOC-4ED5-BCD8-9873F30CBE31 <br /> I <br /> ARTS IN EDUCATION COALITION GRANT <br /> APPLICATION FORM <br /> ORANGE COUNTY ARTS <br /> COMMISSION <br /> 1. APPLICANT INFORMATION <br /> Lead Applicant Name New Hope Elementary(Orange County Schools) <br /> Mailing Address 1900 New Hope Church Road, Hillsborough, NC 27514 <br /> Daytime Phone (919) 942-9696 Email Address ambra.wilson @orange.k12.nc.us <br /> Web Site http://www.orangecountyfirst.com/nh/ DUNS Number 100058890 (OCS) <br /> 2. PROJECT DIRECTOR INFORMATION <br /> Project Director Name Ambra Wilson Title Principal <br /> Home Address: 5336 Springview Court, Burlington, NC 27215 <br /> Daytime Phone (919) 942-9696,ext 44001 Evening Phone (336) 260-5305 <br /> Email ambra.wilson @orange.k12.nc.us DUNS Number 100058890 (OCS) <br /> 3. GRANT REQUEST SUMMARY <br /> Grant Request $ 5,000 Total Cash Match $ $62,500 <br /> (Match may not include funds from the North Carolina Arts Council) <br /> Total Organizational Budget Past Year $69,500 <br /> (Including PTSA/Cultural Current Year $67,500 <br /> Enrichment/Arts Program) Projected for Next Year n/a (see budget note) <br /> **Note: This grant request is from the three schools participating in this program(not from the school <br /> PTAs).As a result, the above budget is for the program budget as a whole(not school budgets), <br /> Summary Statement for Proposed Uses of Arts Program Grant: New Hope Elementary, Central <br /> Elementary and Efland-Cheeks Global Elementary, all Title 1 schools, will participate in an art residency <br /> program designed to integrate the arts into specific curriculum concepts. The program in its entirety will <br /> reach 1,372 students in the district. Funding from the Orange County Arts Commission will help subsidize <br /> teaching artist fees associated with 16 curriculum-integrated art residencies at these schools from <br /> January through April 2017. <br /> 4.NARRATIVE <br /> Write a description (no more than three pages, single spaced)that describes the following under <br /> separate subheadings: <br /> • Profile for each school in coalition—a brief overview of population and services. <br /> • Each school's current arts programs—a brief list. <br /> • Proposed uses of grant funds—description, including location, date, artists involved. <br /> • Include information concerning whether you have undertaken similar activities in the past. <br /> Include approximate number of audience per program;geography of audience; mix of race, <br /> ethnicity,age,and gender. Discuss how arts program will be integrated into the curriculum. <br /> 919.245.2335 200 S.Cameron Street,Hillsborough, NC 27278 1 www.arlsorange.org <br />