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,CJPP Application for Continuation of Implementation Funding <br />Page 5 of 6 <br />Attach a Copy of Proposed or Signed Contracts in attachment section for FY 2008 - 2009. <br />Contracts should be maintained in Program files on site. <br />110range County and Freedom House <br />Please Note: Attachments are required for contracts and MOA's for FY 2008 - 2009. <br />12. Project Income <br />Does the program anticipate receiving any Project Income? <br />5G No <br />❑ Yes (Attach a completed "Project Income Report" form) Attachment 8 <br />Submit one (1) Original and two (2) copies of Application and Attachments, including <br />budgets. <br />Attachment Check List <br />Attach the following in this order: <br />Attachment <br />Attached? Reason, if Not <br />Attached <br />1. Job Descriptions for all modified CJP Program Positions <br />❑ Yes Same as previous <br />WNo years <br />2. Copies of All MOA's for FY 2008 - 2009 for Service Providers <br />WYes <br />❑ No <br />3. Copies of All Proposed or Signed and Executed Contracts for FY <br />F1 Yes <br />2008 - 2009 for Service Providers <br />❑ No <br />4. Copy of facility license and proof of appropriate certification or <br />WYes <br />registration with certifying board. <br />❑ No <br />5. Monthly or Weekly Calendar detailing Services Provided <br />WYes <br />❑ No <br />6. Local CJPP Advisory Board Members and Terms <br />WYes <br />❑ No <br />7. Budget Line Item Justification Form <br />WYes <br />❑ No <br />8. Budget Summary Form <br />WYes <br />❑ No <br />9. Project Income Report (if applicable) ❑ Yes <br />WNo /A <br />10. Information regarding all funding sources beyond CJPP funds WYes <br />(Grants, County Funds, etc.) ❑ No <br />http: / /cjpp.doc.state.nc.us./ apps/ CJPPFiscal/CJPPFiscalController ?ACTION= SaveForm 4/24/2008 <br />