Orange County NC Website
Browse       Search
CJPP Application for Continuation of Implementation Funding Page 5 of 5 <br />Does the program anticipate receiving any Project Income? <br />G/J 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 /> Attached? Reason, if Not <br />Attachment Attached <br />1. Job Descriptions for all modified CJP Program Positions ^ Yes same as previous <br /> C~No years <br />2. Copies of All MOA's for FY 2011 - 2012 for Service Providers E6Yes <br /> ^ No <br />3. Copies of All Proposed or Signed and Executed Contracts for FY 66 Yes <br />2011 - 2012 for Service Providers ^ No <br />4. Copy of facility license and proof of appropriate certification or ^ Yes ~n file <br />registration with certifying board. E6No <br />5. Monthly or Weekly Calendaz detailing Services Provided Gli Yes <br /> ^ No <br />6. Local CJPP Advisory Board Members and Terms 6(J Yes <br /> ^ No <br />7. Budget Line Item Justification Form ~! Yes <br /> ^ No <br />8. Budget Summary Form ~-1 Yes <br /> ^ No <br />9. Project Income Report (if applicable) ^ Yes /A -~ <br /> EGNo <br />10. Information regazding all funding sources beyond CJPP funds ^ Yes /A <br />(Grants, County Funds, etc.) ~.1 No <br />NOTE: Please number your attachments and submit in the order indicated above. <br />Return to Form. Selection Page <br />7 <br />http://cjpp.doc.state.nc.us/apps/CJPPFiscaUCJPPFiscalController?ACTION=SaveForm 2/7/2011 <br />