Orange County NC Website
CJPP Application for Continuation of Implementation Funding <br />Page 5 of 6 <br />0 <br />Attach a Copy of Proposed or Signed Contracts in attachment section for FY 2008 - 2009. <br />Contracts should be maintained in Program files on site. <br />Orange County and Freedom House , <br />Please Note: Attachments are required for contracts and MOA's for FY 2008 - 2009. <br />12. Project Income <br />Does the program anticipate receiving any Project Income? <br />~i 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 />Attachment <br />1. Job Descriptions for all modified CJP Program Positions <br />2. Copies of Ali MOA's for FY 2008 - 2009 for Service Providers <br />3. Copies of All Proposed or Signed and Executed Contracts for FY <br />2008 - 2009 for Service Providers <br />4. Copy of facility license and proof of appropriate certification or <br />registration with certifying board. <br />5. Monthly or Weekly Calendar detailing Services Provided <br />6. Local CJPP Advisory Board Members and Terms <br />7. Budget Line Item Justification Form <br />8. Budget Summary Form <br />9. Project Income Report (if applicable) <br />10. Information regarding all funding sources beyond CJPP funds <br />(Grants, County Funds; etc.) <br />Attached? Reason, if Not <br />Attached <br />^ Yes <br />+''i No <br />Chi Yes <br />^ No <br />~i Yes <br />^ No <br />Yes <br />^ No <br />~I Yes <br />^ No <br />Yes <br />^ No <br />Chi Yes <br />O No <br />Chi Yes <br />^ No <br />~ Yes <br />~No <br />~i Yes <br />^ No <br />Same as previous <br />years <br /> <br />http://cjpp.doc.state.nc.us./apps/CJPPFiscal/CJPPFiscalController?ACTION=SaveForrn 4/1/2008 <br />