Orange County NC Website
Browse       Search
ii <br /> DocuSign Envelope ID: 1AAAAB90-CE45-4C70-BFF6-9C6B412A4075 <br /> is <br /> 5. APPLICATION CHECKLIST (in this order;do not staple, bind,or put into individual folders) <br /> One copy:1 sided,S 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 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 <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 as .pdf file or hard copy <br /> 6. SIGNATURES <br /> Typed or Printed Name—Project Director: Lisa Flinn <br /> 4 4o1 <br /> ( _2,61 <br /> S +na_ 'eo •t-ctDirector Date <br /> Typed or Printed Name—Authorizing Official: Dr. Robert Brizentine <br /> lo- ` s' 0/7/24/6 <br /> a <br /> Signature of Auth izin e <br /> icial at r t ff <br /> ( <br /> 919 245 2T35 .JC n.«,r.treel.,l iill,f_orou gi, Lid_27278 .;,/V.1 i 1,rr ur rj6.c:r <br />