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CJPP Application for Continuation of Implementation Funding <br />Signature <br />6. Date Approved Approved By <br />CJPP Local Advisory Board <br />County Board of Commissioners <br />7. Sentenced Clffender Program <br />A. Program Information <br />Provide Name, Address, and <br />PhonelFax/Email of Program <br />harron Hinton <br />-range County DSS <br />13 Mayo Street <br />O Box 8181 <br />[illsbvrough, NC 27278 <br />h: (919) 245-2840 <br />ax: (919) 644-3058 <br />us <br />Program Director Sharron <br />Name Hinton <br />B. Program Administration {far Contractual Programs <br />only} <br />Provide Name, Title, Address, and Phone/Fax/Email of <br />Director, Administrator or Contact Person <br />Contact: Trish Hussey, Executive Director <br />Freedom House Recovery Center <br />104 New Stateside Drive <br />Chape! Hill, NC 27516 <br />Ph: (919}942-2803 <br />Fax: (919) 942-2126 <br />g. Program Mod cations <br />A. Check All Proposed Changes in the Following Program Components. <br />S. For Each Checked, Describe Current Program Component, followed by Proposed Program <br />Component. <br />^ Program Goals and Objectives <br />^ Program Activities <br />^ # of Offenders Served <br />^ Offenders Targeted <br />^ Program Administration <br />^ Administrative Fees <br />^ Program Staffing <br />^ Contracts <br />^ MOA's <br />4 <br />hftp:licjpp.doc.state.nc.uslapps/C3PPFiscallC3PPFisca!Controller?ACT'ION=SaveForm 2!15!2010 <br />