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CJPP Application for Continuation of Implementation Funding Page 4 of 6 <br />~ Consider treament slots, length of time in treatment, and total budget when estimating total <br />number of people served. <br />[B) Check all services that apply <br />[ 1 ] Substance Abuse Treatment <br />[2] ~i Educational Services <br />[3] ~I Job Development Services <br />[4] ~ Cognitive Behavioral Intervention <br />[5] ~'i Domestic Violence Services <br />[6] ~i Life Skills <br />[7] ^ Sex Offender <br />[8] ^ Others <br />~i Assessment <br />~.1 ROPT <br />Chi IOPT <br />~1 Support Services <br />~i After Care <br />~I Drug Screens <br />^ Other <br />On Site Off Site <br />~ ~ <br />~ ~ <br />~I ^ <br />~ C'i <br />C~'i Chi <br />~ ~! <br />^ ^ <br />~'i C+~I <br />~ ~ <br />~ ~ <br /> <br />Cam' Ei <br />Chi ~'i <br />~1 ~J <br />11. Service Provider Information <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 2008- <br />2009. MOA's should be maintained in Program files on site. <br />Rape Crisis of Orange County <br />Orange County Literacy Council <br />Skills DevelopmentCenter/Adult Basic Education <br />Orange County Health Department <br />Orange Voc. Rehab. <br />15B Division of Community Corrections <br />Drug Treatment Court <br />Shared Visions Credit Counseling <br />Employment Security Commission <br />Orange Public Transportation <br />OPC LME <br />El Futuro <br />Oxford Houses <br />[B) List the CONTRACTED (i.e., services at COST to CJPP) Service Providers to the program. <br />Attachment 3 <br />http://cjpp.doc.state.nc.us./apps/CJPPFiscal/CJPPFiscalController?ACTION=SaveForm 4/1/2008 <br />