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VM7-D <br /> APPLICATION FOR OMB Avoroval No.0348-0043 <br /> 2 DATE SUBMITTED Applicant Identifier <br /> FEDERAL ASSISTANCE 09-23-94 NONE <br /> 1.TYPE OF SUBMISSION: Z DATE RECEIVES BY STATE State Application Identifier <br /> Application Preapplication 9300000720 <br /> ❑Construction ❑ Construction <br /> ❑Non-ConSwWon : ❑ Nor-Construction 4.DATE RECEIVED BY FEDERAL AGENCY Federal Identifier <br /> S APPLICANT INFORMATION <br /> Legal Name: Organizational Unit <br /> ORANGE COUNTY COUNTY GOVERNMENT <br /> Address(give city,county,state,and MP code): Name and telephone number of the person to be contacted on matters <br /> involving this application(give area code): <br /> ORANGE COUNTY Katherine P. Mangum (Kathy), RSVP Director <br /> P.O. BOX 8181 (919) 968-2054 <br /> HILLSBOROUGH, NC 27278 <br /> & EMPLOYER IDENTIFICATION NUMBER(E1M 7. TYPE OF APPLICANT:(enter appropriate letter in box) <br /> A. Stale H. Independent School Distriw <br /> B. County 1. State Controlled Institution of Higher Learning <br /> C. Municipal J. Private University <br /> a. TYPE OF APPLICATION: D. Township K. Indian Tribe <br /> ❑ New ES Continuation ❑ Revision E. Interstate L Individual <br /> F. Intermunicipal M. Profit Organization <br /> If Revision,enter appropriate letter(s)in box(es): ❑ - G. Special District N. Other(Specify): <br /> A. Increase Award B. Decrease Award C. Increase Duration <br /> 9. NAME OF FEDERAL AGENCY: <br /> D. Decrease Duration Other(specify): <br /> ACTION <br /> 10. CATALOG OF FEDERAL DOMESTIC 11. DESCRIPTIVE TITLE OF APPLICANTS PROJECT: MM RJ)P prmdcbs <br /> ASSISTANCE NUMBER: 7 2 0 2 fc it- ividmjs 55 & LPL' the cpp=tjuty to ser�e <br /> the CCIIIT xrit ies rm t <br /> TITLE: Retired Senior Volunteer Program and wing�p�ots. p;T U <br /> 12. AREAS AFFECTED BY PROJECT(cities,counties,states,etc.): b3� Cn t� w1 mteerl S skills, e'pe `�„„_, jl'ltm:iests <br /> & the weds of the a9axnes. Agaicaes are mad <br /> Hillsborough, Chapel Hill, Carrbor ,tO SLimit detailed jcb deesCriptirns of each <br /> Orange County, North Carolina assigrrEnt. <br /> 13. PROPOSED PROJECT: 14. CONGRESSIONAL DISTRICTS OF: Ps�gj nn TNT <br /> Starr Date Ending Date a. Applicant b. Project <br /> Fourth Fourth <br /> 07-01-94 06-30-97 <br /> 15. ESTIMATED FUNDING: 1S IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS? <br /> a. Federal $ 112,545 .00 a. YES. THIS PREAPPLICATION/APPLICATION WAS MADE AVAILABLE TO THE <br /> STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON: <br /> b. Applicant $ 133,107 •00 <br /> DATE <br /> c. State S .00 -- <br /> b. NO. ❑ PROGRAM IS NOT COVERED BY E.O.12372 <br /> d. Local $ 38,331 'D0 ❑ OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW <br /> e. Other $ 00 <br /> I. Program Income $ 17.IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? <br /> ❑ Yes If'Yes,'attach an explanation. No <br /> g. TOTAL $283,983 <br /> 18. TO THE BEST OF MY KNOWLEDGE AND BELIEF,ALL DATA IN THIS APPLICATIOWPREAPPLICATION ARE TRUE AND CORRECT,THE DOCUMENT HAS BEEN DULY <br /> AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED <br /> a. Typed Name of Authorized Representative b. Title c. Telephone Number <br /> Moses Carey orrmiss <br /> Chair Orange Co. Cione 919-732-8181 <br /> d. Signatu I rized Represent e. D igned <br /> Previous Edi ona Not Usable utnorvrd to Local epr lit Pa;e 1 Stanoaro Form 424(Rev.4-a&) rescmwc ay OMn ircnar A-102 <br /> k <br /> , <br /> I <br />