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DocuSign Envelope ID:02F06C78-5CE0-44F0-A79D-28DFAEBOD2EC <br /> I /de CAR0 <br /> ci> <br /> 46"Vef 0 1- <br /> Z > <br /> 2017-18 <br /> ORANGE COUNTY ARTS co‘.0 GRASSROOTS ARTS PROGRAM <br /> COMMISSION www.ncarts.org APPLICATION FORM <br /> PART 1 : APPLICATION ORGANIZATION INFORMATION <br /> Organization Name: Cedar Ridge High School (Orange County Schools) <br /> Street Address: 1125 New Grady Brown School Road, Hillsborough, NC 27278 <br /> City: Hillsborough State: NC Zip: 27278 <br /> Phone: (919) 245-4000 Website: http://vvwvv.orangecountyfirst.com/crhs/ <br /> Authorizing Official Name: Heather Blackmon <br /> Authorizing Official Title: Principal, Cedar Ridge High School <br /> Authorizing Official Phone: 919-245-4000, ext. 21001 Authorizing Official Email: <br /> Applicant Race: White Organization EIN: <br /> ORGANIZATIONAL FINANCES <br /> Please attach a complete income and expense statement(an audit may be substituted) for your last fiscal year and <br /> complete operating budgets for the current fiscal year and next fiscal year. Public schools and other large governmental or <br /> community agencies should attach arts program financial information only. Please copy the totals from these attachments <br /> in the spaces below: <br /> Last Year Actual: FYI 5-16 Current Year: FY16-17 Next Year: FY17-18 <br /> Actual Income: $11,600 Projected Income: $11,600 Projected Income: $11,900 <br /> Actual Expenses: $11,600 Projected Expense: $11,600 Projected Expense: $11,900 <br /> PART 2: PROJECT INFORMATION <br /> PROJECT DIRECTOR INFORMATION (if different from Authorizing Official) <br /> Project Director Name: Tracy Thomas <br /> Project Director Title: Cultural Explosion Committee Co-Chair <br /> Street Address: 2701 Sweet Gum Drive <br /> City: Hillsborough State: NC Zip: 27278 <br /> Phone: 919-360-2361 Email: tracy.thomas@orange.kl2.nc.us <br /> PROJECT SUMMARY <br /> Title of Grant Program or Project: Cultural Explosion (Mexican Folkloric Band and The Scrap Exchange) <br /> Grant Amount Requested: $1,300 <br /> Project Start Date (No earlier than July 1, 2017): September 2017 (planning begins) <br /> Project End Date(No later than June 30, 2018): April 26, 2018 (event date) <br /> SCHOOLS ONLY: <br /> Are you booking your artists through The ArtsCenter's Arts in Schools Program? 0 YES X NO <br /> 2.) Grc (r1 Pro(pm cmnil Apply (111()M P(.1( 10 1 <br />