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DocuSign Envelope ID:06711178-0E3F-4541-A834-A91 FC422F4D1 <br /> is <br /> I' <br /> "'N/ FALL 2016 <br /> ORANGE COUNTY ARTS <br /> ARTS IN EDUCATION GRANT <br /> COMMISSION APPLICATION FORM <br /> II <br /> 1. APPLICANT INFORMATION <br /> Applicant Name Carrboro Elementary School <br /> Mailing Address 400 Shelton St.,Carrboro, NC 27510 <br /> Daytime Phone 919-968-3652 Email Address ilaserna @chccs.k12.nc.u€s <br /> Web Site http://ces.chccs.k12.nc.us/ DUNS Number 964181957 <br /> 2. PROJECT DIRECTOR INFORMATION <br /> Project Director Name Lynn Weller Title PTA Cultural Arts Representative <br /> rr <br /> Home Address: 211 Wild Oak Ln is <br /> Daytime Phone 919-606-0836 Evening Phone is <br /> Email lynnweller @gmail.com DUNS Number <br /> 3. GRANT REQUEST SUMMARY <br /> Arts Program Grant Request $1,000.00 Total Cash Match $1,450.00 <br /> Total Organizational Budget Past Year $65,258.00 (actual) <br /> (Including PTSA/Cultural Current Year $54,035.00 (budgeted) <br /> Enrichment/Arts Program) Projected for Next Year $55,000.00 (estimated) <br /> Summary Statement for Proposed Uses of Arts Program Grant: CES is requesting funding assistance to <br /> bring two performance groups to our school in 2017. Mike Wiley is an acclaimed actor and playwright who <br /> strives to expand cultural awareness for young audiences through dynamic portrayals based on pivotal <br /> moments in African-American history. The NC Youth Tap Ensemble is a dynamic group of NC youth aged <br /> 8-18 that features rhythmic dance from a variety of genres as well as drumming and singing. <br /> 4. NARRATIVE <br /> Write a description (no more than three pages, single spaced)that describes the following under <br /> separate subheadings: <br /> • School profile—a brief overview of population and services. <br /> • School's arts programs—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 1 200 S.Cameron Street,Hillsborough, NC 27278 I www.artsorange.erg <br />