Orange County NC Website
Browse       Search
DocuSign Envelope ID: B55679E1-82FB-4A06-BBCF-6BC218E4CADA [ A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> 1. COVER PAGE (Each program requires a separate application.) <br /> a) Applicant Contact Information <br /> Applicant Organization's Legal Name: Piedmont Wildlife Center <br /> Applicant Organization's Physical Address: 364 Leigh Farm Rid, Ourhom, NC 27707 <br /> Applicant Organization's Mailing Address: 364 Leigh Farm Rd, Durham, NC 27707 <br /> Applicant Organization's Web Address: www.piedmontwildlifecenter.org <br /> Executive Director: Gail Abrams <br /> Telephone Number: 919-489-0900 E-Mail: <br /> Uirec0orAp{admnontvvi|d|ifeoent*r.orq <br /> DUNS Number: 008434741 <br /> (Dun & Bradstreet, Inc. provides this number at no charge, and it is required for Federal funding <br /> recipients.) <br /> b) Project/Program Contact Information <br /> Project/Program Name: Nature Day Camp <br /> Project/Program Primary Contact and Title: Gail Abrarns, Executive Director <br /> Telephone Number: 919-489-0900 E-Mail: <br /> dinscborApiedmn8ntwi|d|ifaoenter.nnl <br /> c) Funding Request Identification <br /> Total Project/Program Cost: $ 331,433 Total Amount of Funds Requested: $ 10.000 <br /> Proposed Use of Funds Requested (2-3 Line Maximum): We currently have children from <br /> Orange county that attend our Durham camps, and now we are partnering with Orange County <br /> Parks and Rec to offer camps at Blackwood Farm Park in Chapel Hill. We would like to be able <br /> to offer the equivalent of 40 scholarships to be allocated for children from Orange County to <br /> attend either the Chapel Hill or Durham camps offered throughout the year. <br /> Please check all types, sources, and amounts of funding being requested. You must submit <br /> an application package for each funding source. *The Participating Jurisdiction reserves the <br /> right to fund p i*ctofronnany/undingaouxce. aubec/bza6gibilitvmndfundingronoba/ntn. <br /> CDBG Non-Construction (CH) $ Grant Loan <br /> CDBG Construction (CH) Grant Loan <br /> HOME CHD{] (C)C) Grant Loan <br /> �»��Cl 3 23 <br />