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<br />{''O~n.- County, North Cazolina . <br />Request for Standard or Electing Status for the Work First Program . <br />The Boazd of Commissioners of ~ County voted on -f-oZ°2~~ (o <br />(date) <br />to request ~ Standard or ~ Electing (Check one) Status for the Work First Program. <br />The vote was .Sfor and <br />ss-on Ch ' i <br />The prim contact c <br />Name: <br />Position/Title: <br />Address: <br />Phone: <br />Fax: <br />Email: <br />against least two-thirds in favor). n <br />v <br />Date <br />our Work First Block Grant tanning process will be: <br />a N c Cs a <br />~ ~~ ~ <br />~ I~ ~I- ~ ~ t,/e~ ~ <br />1 q - a-~ ~ - ~~' v <br />SS <br /> <br />nJ cos.( ~ ~ I' B . 9 ru-.~ ~ , N c . te, S <br />Due Date: August 31, 2006 <br />Submit to: Sara Anderson Mims, Program Administrator <br />Work First/CPS Policy Team <br />Family Support and Child Welfare Services Section <br />North Carolina Division of Social Services <br />325 N. Salisbury St: <br />2408 Mail Service Center <br />Raleigh, NC 27699-2408 <br />Fax: (919) 715-6714 <br />An Equal Opportunity/Affirmative Action Employer <br />