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• I <br /> This petition must be signed and returned by the close of business January <br /> 2, 1986 tothe following address: <br /> James Lewis Ross, II, Director <br /> Division of Employment and Training <br /> P. O. Box 27687 <br /> Raleigh, NC 27611 <br /> *In accordance with Section 628.1(b) of the U. S. Department of Labor <br /> implementing regulations for programs under the Job Training Partnership Act, <br /> this form must be used for request for service delivery area designation. <br /> **Indicate the Lead agency (agent) responsible for implementating JTPA for the <br /> proposed service delivery area in the following administrative areas: <br /> - Central Piedmont Employment <br /> And Training Office <br /> 1. Administrative Entity: Agency Name City of Durham <br /> Address P.O. Box 667 <br /> Contact Person Robert Ferguson, Director <br /> (Name) (Title) <br /> Telephone Number ( 919) 683-4121 <br /> 2. Grant Recipient: Agency Name Same as above <br /> Address <br /> Contact Person <br /> (Name) (Title) <br /> Telephone Number ( ) <br /> 3. Agency Responsible for Private Industry Council development and <br /> appointments: <br /> Agency Name Same as above <br /> Address <br /> Contact Person <br /> (Name) (Title) <br /> Telephone Number ( ) <br />