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Mar•12. 2007zi 1:21 PM`.ontuFREEDOM HOUSE RECOVERY CENTER <br />No•1115 t~P• 5~oi~6 <br />L./ <br />2. What is the estimated TOTAL number of people to be served during l: Y 2006 - ~o <br />2007? <br />3. What is the estimated TOTAL number of people tube served during FY 2007 - ~ <br />2008? '~ <br />* Consider treamenf slots, length of time is treatment, and tote! budget when estimating total <br />number of people served. <br />[Sj Check aII services that apply On Site Off Site <br />[1] ~1 Substance Abuse Treatment G~ Assessment ~ ~ <br />~ ROPT <br />66 IOPT <br />~ Support Services <br />6~i Aflrer Care <br />~ Drug Screens <br />~1 Other <br />[2] ~! Educational Services <br />[3] ~ Job Development Services <br />[4] I~ Cognitive Behavioral Intervention <br />[5] 66 Domestic Violence Services <br />[6] Qf Life Slalls <br />[7) ^ Sex Offender <br />[8] ^ Others <br />1.1. Service Provider Information <br />6~ <br />C~ <br />6~ <br />D <br />.~ <br />6d <br />Bf <br />D <br />D <br />(~ <br />66 <br />Q <br />[A] List the NON-CONTRACTED Cie., services at NO COST to CJPP) Service Providers to the <br />pmg~ram. Attachment 2 <br />Attach a Copy of Memorandums of Agreement (MOA's) in attachment suction for FY 2007 <br />2008. MOA's should be maintained in Program Sles on site. <br />[tape Crisis of Orange <br />Orange Co Literacy Council <br />SldIls Center/Adu]t Basic Education <br />grange Health Deparmnent <br />~r~ange Voc Rehab <br />l SB Division of Community Corrections <br />Drug Treatmem Court <br />Shared Visions Credit Counseling <br />FanploynZent Security Commission <br />• <br />~J <br />i~ <br />httpJ/cjpp.doc.state.ncus/apps/C]PPFiscaVCJPPFiscalContirollcr?ACTION=SaveForm 3/t2/2007 <br />