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DocuSign Envelope ID:A0B1EB25-DA83-4024-9927-D69B64746F70 <br /> fal <br /> de.vi <br /> (00 201718 <br /> ORANGE COUNTY ARTS ARTIST PROJECT GRANT PROGRAM <br /> COMMISSION APPLICATION FORM <br /> PART 1: APPLICATION ORGANIZATION INFORMATION <br /> Artist Name i beVY 1 -14-.1,19it-rd <br /> Street Address: 15 ,'f )- 504,14 tok- <br /> City: , (25, 1,0 \—/ State: op Zip: 91-034) <br /> Phone: 9/6, (o %, Website (if applicable): <br /> Email: ezt,r444-- hu-bhatti omacr - com <br /> PART 2: PROJECT INFORMATION <br /> PROJECT SUMMARY <br /> Title of Grant Program or Project: rior-ct <br /> Grant Amount Requested: 00 p <br /> Project Start Date (No earlier than July 1, 2017): rej, jotr <br /> Project End Date (No later than June 30, 2018): „11ite, 30 gots. <br /> PROJECT NARRATIVE <br /> Please attach a narrative providing the information requested below for the project you propose. Please be as concise <br /> and specific as possible: <br /> 1. Summary of the proposed project-what will you do, where will it be performed or displayed, when the preparations <br /> and public component take place, any organizational partners. <br /> 2. Community impact-describe the project's public component, how many people and what populations will be <br /> impacted. <br /> 3. Artist experience—include a brief description of your similar arts projects in the past, if applicable. <br /> PROJECT BUDGET <br /> Please provide a projected budget for your proposed project utilizing the format below. You may attach an additional <br /> detailed budget if necessary, but the tables below must be filled out. Please see the attached Glossary of Budget Terms <br /> for more information. NOTE: Matching funds are not required but may be encouraged depending on the project. If you <br /> have additional funding sources, please include them in the chart below. <br /> PROJECT EXPENSES Explanation Grant Request Amount +Matching Funds = Total Expense <br /> Administrative Staff- <br /> $ $ $ <br /> A. Personnel Artistic Staff: $ $ $ <br /> Technical/Production Staff: $ <br /> B. Outside Fees and Artistic Contracts: $ $ $ <br /> Services Other contracts:,or-ApAk d€50 — $ 600 $ 6C19- <br /> Space Rental <br /> -aye' 7e1114- „ga $ (c)0 0 $ 0 $ 3 'O0 — <br /> Iting soce.crl;"pr(nt) Y t'otto r2rt? . $ — 0 $ $ <br /> "ng Project S ee-d, cAl 1- h fer-ts <br /> otmerkd,ertsod, VA-11:21'5, 0 $ / 2 "?-r) $ <br /> 'oenses $ <br /> uiscrnerbhari 7L3r /e-en5 <br /> Appilcotion P(Icl 4 <br />