Orange County NC Website
~. <br />S <br />U.S. Department o~ Jtistlce CFDA No.: i6.?10 <br />Office of Community Oriented Policing Services SA o.ri«N.~.saoc.«..ryr. <br />Date submitted to SMOG <br />Universal Hiring Program Application Form <br />This form is to be completed by jurisdictions wishing to' apply~for grants to pay for salaries and benefits of <br />new or rehired police officers under the Universal Hiring Program. Complete the information below. By <br />signing this form you also acknowledge your understanding that Universal Hiring grants provide a maxi- <br />mum federal contribution of T% of the approved salary and benefits of each officer over three years unless a <br />waiver is authorized, up to a cap of Sr,000 per officer, with the federal share deczeasing and local share <br />increasing from year to year. All budget calculations must be based on the salary o.f an entry level officer in <br />your department. ' <br />All requested information must be typed. <br />Applicant Organization's Legal Name:Orange County Sh=riff Oepartment <br />Applicant Agenry EIN Number (Assigned by the IRS): <br />(If your department has been assigned an EIlV number by the Once of Justice Programs, please use that assigned <br />number. Otherwise, your Internal Rtaenue Straice EIN number should be used.) <br />Applicant Agenry ORI Number (Assigned by FBI for UCR Reporting): NC0390~770 <br />Congressional District dth <br />Are you contracting for law enforcement services? O No Q Yes If "yes," enter the name and agency informa- <br />tion of the contract law enforcement department in the Law Enforcement Executiae Information section below. <br />Executive Information: <br />Law Enforcement Executive's Name: Albert L. Pendergrass Title: ~h .riff <br />Agency Name: Orange County Sheriff Office _ <br />Address: 144 E Ma~arPt I ono - <br />Clty ; F!i 11 chnrrn ~9h State: N _ C _T.lp COde: 97978 <br />Telephone: (919) 644-3050 FAX: (919) 732-6403 <br />Name of contact person in your department who is familiaz with this grant nnn rr:.ol ratio <br />Telephone: _(,~19) fi44-'~QSn FAX: _~~a. 732-s:~o~ -- <br />(Oz. <br />