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DocuSign Envelope ID:DDA1623E-FEA2-4FED-A473-17044A283D43 <br /> I <br /> 2017-18 <br /> ORANGE COUNTY ARTS ARTIST PROJECT GRANT PROGRAM <br /> COMMISSION APPLICATION FORM <br /> PART 1 : APPLICATION ORGANIZATION INFORMATION <br /> Artist Name: Renzo Ortega <br /> Street Address: 400 Davie Road #56 <br /> City: Carrboro State: North Carolina Zip: 27510 <br /> Phone: 646.884.4701 Website(if applicable): WWW.renzoortega.corn <br /> Email: renzovisual@gmail.corn <br /> PART 2: PROJECT INFORMATION <br /> PROJECT SUMMARY <br /> Title of Grant Program or Project: Clases de Arte en Espanol (Art Classes in Spanish) <br /> Grant Amount Requested: 2000 <br /> Project Start Date (No earlier than July 1, 2017): September 2017 <br /> Project End Date (No later than June 30, 2018): November 2017 <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. Tat&A <br /> PROJECT EXPENSES Explanation Grant Request Amount • • cs ..•••-•00:4•ki- <br /> Administrative Staff <br /> A. Personnel Artistic Staff: $650 $ (OR $ <br /> Technical/Production Staff: $ 150 $ / $ <br /> B. Outside Fees and Artistic Contracts: $ $ $ <br /> Services Other contracts: $ $ $ <br /> C. Space Rental $500 $ 50 0 $ <br /> D. Travel $ 100 $ I $ <br /> E. Marketing $300 $ 3 00 <br /> F. Remaining Project $300 $SOO <br /> Expenses <br /> G. Total Cash Expenses $2000 $ 10000 $ <br /> 2017 Grawaots Program (..;`'ant Applic a ion Packet 4 <br />