Orange County NC Website
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l' <br />HEALTH AND WELLNESS TRUST FUND <br />GRANT APPLICATION FOR COAIlqUNITY /SCHOOL PREVENTION PROGRAMS <br />INITIATIVE <br />I. The Applicant Organization <br />A. Name and address of the organization applying for grant. <br />Name: Orange County Health Department <br />Street Address/P.O. Box: PO Box 8181 <br />300 West Tryon Street <br />City; Hillsborougb County: Orange <br />State: NC Zip Code: 27278 8181 <br />Phone: 919 245 -2409 Fax: 919 644 -3007 <br />Email: rsummers(a co.orange.nc. Web- site: w ww.co.oraage.nc.us/health/indez <br />EIN: 566000327 <br />B. Officer, employee or contact person responsible for your grant <br />request. <br />Name: Maria K Hitt <br />Title: Healthy Carolinians Coordinator <br />Address: 2501 Homestead Road <br />Phone: 919 968 -2022 Fax: 919 968 -2013 <br />Email: mhittAco.orange.naus <br />Tracking number 151 <br />Page 1 <br />40 <br />