Orange County NC Website
Browse       Search
DocuSign Envelope ID:F7163211-DB22-463E-994F-9511800DB63B <br /> 5. APPLICATION CHECKLIST (in this order;do not staple, bind, or put into individual folders) <br /> One copy:1 sided,8 1/2"x 11", white paper <br /> La Application Form, including signatures <br /> gNarrative f, <br /> Budget Sheet <br /> YJ ❑ 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 /> NY ❑ 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 /> V Copy of IRS Tax Exemption Letter, if private school <br /> NA ❑ Sample programs, press,or other materials from this or similar past programs <br /> A(,/k ❑ 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 /> Typed or Printed Name—Project Director: Nancy Zeman <br /> c/S-: r 11-20-2016 <br /> Signature of oject Dir- tor Date E' <br /> Typed or Printed Name—Authorizing Official: Lynn Lehmann <br /> -:_ 11-20-2016 <br /> Si gnat of Authorizing O ff icial Date <br /> 919.245.2335 200 S.Cameron Street, Hillsborough, NC 27278 ( www,artsorange.org <br />