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CJPP Application for Continuation of Implementation Funding Page 4 of 5 6 <br />[Bj Check all services that apply <br />[1] 9 Substance Abuse Treatment <br />[2] Educational Services <br />[3] GCi Job Development Services <br />[4]1 Cognitive Behavioral Intervention <br />[5] Domestic Violence Services <br />[6] 6Ci Life Skills <br />[7] ❑ Sex Offender <br />[8] ❑ Others <br />11. Service Provider Information <br />6G Assessment <br />ROPT <br />IOPT <br />GfJ Support Services <br />After Care <br />Drug Screens <br />❑ Other <br />On Site Off Site <br />9 <br />6G <br />❑ <br />❑ <br />�J <br />�J <br />Rf <br />Rf <br />E6 <br />6G <br />❑ <br />❑ <br />❑ <br />❑ <br />[A] List the NON - CONTRACTED (i.e., services at NO COST to CJPP) Service Providers to the <br />program. Attachment 2 <br />Attach a Copy of Memorandums of Agreement (MOA's) in attachment section for FY 2011 - <br />2012. MOA's should be maintained in Program files on site. <br />Orange /Chatham Probation & Parole; Joint Orange - Chatham Community Action, Inc; Club <br />Insight; PTA Thrift Shop, Inc; Central Carolina Community College; Rape Crisis Center of Orange <br />County; Orange County Literacy Council; Orange County Health Department; Orange Vocational <br />Rehabilitation; 15B Division of Community Corrections Drug Treatment Court; Shared Visions <br />Credit Counseling; Employment Security Commission; Orange Public Transportation; OPC <br />LME/TASC; El Futuro; Oxford House; Durham Technical Community College - Human <br />Resources Dept; Durham County DSS; and Chatham Transit <br />[Bl List the CONTRACTED (i.e., services at COST to CJPP) Service Providers to the program. <br />Attachment 3 <br />Attach a Copy of Proposed or Signed Contracts in attachment section for FY 2011 - 2012. <br />Contracts should be maintained in Program files on site. <br />Government and Freedom House Recovery Center <br />Please Note: Attachments are required for contracts and MOA's for FY 2011 - 2012. <br />12. Project Income <br />http: / /Cjpp.doc.state.nc.usl apps lCJPPFiscallCJPPFiscalController ?ACTION= SaveForrn 2/7/2011 <br />