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DocuSign Envelope ID:3E2A8197-2735-44CA-8810-5AD399233576 <br /> 1 / <br /> 46141\411 <br /> cr." 2017-18 <br /> ORANGE COUNTY ARTS ARTIST PROJECT GRANT PROGRAM <br /> COMMISSION APPLICATION FORM <br /> PART 1: APPLICATION ORGANIZATION INFORMATION <br /> Artist Name: Pam Baggett <br /> Street Address: 8800 Wilkerson Road <br /> City: Cedar Grove State: NC Zip: 27231 <br /> Phone: 919-732-9403 Website (if applicable): <br /> Email: nightair@mindspring.com <br /> PART 2: PROJECT INFORMATION <br /> PROJECT SUMMARY <br /> Title of Grant Program or Project: Project Poetry! <br /> Grant Amount Requested: $1365.00 <br /> Project Start Date:August 1, 2017 <br /> Project End Date: May 1, 2018 <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 /> A. Personnel Artistic Staff: $1,365.00 $1,365.00 <br /> Technical/Production Staff: $ <br /> B. Outside Fees and Artistic Contracts: <br /> Services Other contracts: <br /> C. Space Rental <br /> D. Travel <br /> E. Marketing <br /> F. Remaining Project <br /> Expenses <br /> G. Total Cash Expenses $1,365.00 $1,365.00 <br /> 201/ C,Iuwook Program n(,t(i1)1'AppUcaf ion Packet <br />