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DocuSign Envelope ID:955CF8D2-2C10-4E40-BC25-542ECC04AE02 <br /> Ilj <br /> FALL 2016 <br /> ORANGE COUNTY ARTS ARTS PROGRAM GRANT <br /> COMMISSION APPLICATION FORM <br /> 1. APPLICANT INFORMATION <br /> Applicant Name Franklin Street Arts Collective (DBA FRANK Gallery) <br /> Mailing Address 109 East Franklin St, Chapel Hill, NC 27514 <br /> Daytime Phone 919-636-4135 Email Address info @frankisart.corn <br /> Web Site http://www.frankisart.com/ DUNS Number 832735422 <br /> 2. PROJECT DIRECTOR INFORMATION <br /> Project Director Name Mary Lamb Title Outreach Committee <br /> Home Address 104 Mosswood Ct, Chapel Hill, NC 27516 <br /> Daytime Phone 215-520-1034 Evening Phone 919-942-8352 <br /> Email mlambm @yahoo.com DUNS Number 832735422 <br /> 3. GRANT REQUEST SUMMARY <br /> Arts Program Grant Request $ 1,500.00 Total Cash Match $ 1,500.00 <br /> Total Organizational Budget Past Year $60,765 <br /> Current Year -$17,536 <br /> Projected for Next Year -$15,000 <br /> Summary Statement for Proposed Uses of Arts Program Grant: The grant will support FRANK's <br /> Outreach Committee's work with (1.) underserved youth in our community and with (2.)the CLICK! <br /> Triangle Photography Festival. <br /> 4. NARRATIVE <br /> Write a description(no more than three pages,single spaced)that describes the following under <br /> separate subheadings: <br /> • Organizational profile—a brief overview your organization's mission and history. <br /> • Current programs and services—a brief list. <br /> • Proposed uses of grant funds—description including location,date,artists involved. Include <br /> information concerning whether you have undertaken similar activities in the past. Include <br /> approximate number of audience per program;geography of audience;mix of race,ethnicity, <br /> age,and gender. Discuss how arts program will be integrated into the curriculum. <br /> 919 245 2335 ( 200 S.Cameron Steet,Hillsborough,NC 27278 I e e e ortsorange,org <br />