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[A] What is the capaci1y of the program? (i.e., how many people can be served at any given <br />time ?) <br />[B] 1. What was the actual TOTAL number of people served during FY 2001 - 2002? <br />2. What is the estimated TOTAL number of people to be served during FY 2002 - 2003? <br />3. What is the estimated TOTAL number of people to be served during FY 2003 - 2004? <br />[C] Check all services that apply <br />[ 1 ] 9 Substance Abuse Treatment <br />[2] FI Educational Services <br />[3]I Job Development Services <br />[4]1 Cognitive Behavioral Intervention <br />[5] Domestic Violence Services <br />[6]'i Life Skills <br />[7] ❑ Others <br />9 Assessment <br />6G ROPT <br />F6 IOPT <br />91 Support Services <br />RI After Care <br />F1 Drug Screens <br />❑ Other <br />On Site <br />W <br />El <br />El <br />El <br />EGEl <br />El <br />El <br />45 <br />Off Site <br />1,14 <br />■ <br />■ <br />■ <br />[A] List the NON - CONTRACTED (i.e., services at NO COST to CJPP) Service Providers to the program. <br />Attachment 2 <br />210 <br />Attach a Copy of Memorandums of Agreement (MOA's) in attachment section for FY 2003 - 2004. MOA's <br />should be maintained in Program files on site. <br />[B] List the CONTRACTED (i.e., services at COST to CJPP) Service Providers to the program. Attachment 3* <br />Attach a Copy of Proposed or Signed Contracts in attachment section for FY 2003 - 2004. Contracts should <br />be maintained in Program files on site. <br />Orange - Chatham Alternative Sentencing, Inc. <br />Orange Person Chatham (OPC) Mental Health <br />Please Note: Attachments are required for contracts and MOA's for FY 2003 - 2004. <br />