Orange County NC Website
DocuSign Envelope ID: 3CD68914-055B-4274-9AF2-A50FD766FB76 t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> zones, so we are hopeful that we can continue our highly effective program with the funding <br /> requested. <br /> i) Include any other pertinent information. <br /> From the early days of its inception in the early 1980s, Volunteers for Youth received <br /> funding from the towns of Chapel Hill, Carrboro, and from Orange County. In 2009, Orange <br /> County stopped providing outside agency funds to our organization. It is our understanding <br /> that this decision was made because the county awards Volunteers for Youth a 30% match for <br /> the funds received from the state of North Carolina to run the community service and teen <br /> court programs. As necessary as these funds are for significant services, they don't provide <br /> support to our mentoring program. Mentoring is a service that is repeatedly listed by parents <br /> and youth-serving professionals as a high need in Orange County, particularly for children in <br /> the Orange County school system where there are few mentoring alternatives. This year we <br /> seek funding from Orange County to help us meet this critical need. <br /> Program/Project Information <br /> j)Complete the Target Population and Program Beneficiary Demographics Chart <br /> k)Complete the Schedule of Positions Chart for Program Staff <br /> ()Disclosure of Potential Conflicts of Interested must be signed <br /> m)Complete the Work Statement Chart to describe the work to be performed, and be sure to <br /> attach copies of all data collection tools that will be used to verify achievement of program <br /> goals and objectives. Describe who will be responsible for monitoring progress. <br /> Information to Complete <br /> j.) Target Population <br /> Complete the following tables to the best of your ability. Show numbers of participants and <br /> percentages, as applicable, in each category. <br /> Please indicate whether this project/program will serve: ® Persons ❑ Households ❑ Units <br /> Program: Volunteers for Youth, Inc. <br /> Program Beneficiary Demographics <br /> Actual Estimated Projected <br /> 2014-15 2015-16 2016-17 <br /> Gender <br /> Male 101 104 112 <br /> Female 109 111 118 <br /> Total 210 215 230 <br /> Of the females, how many are single- <br /> female Head of Households (Omit for <br /> Human Services) <br /> Ethnicity <br /> African-American 82 84 89 <br /> American Indian or Alaska Native <br /> Main Application 5/25/2016 10:34:40 AM Pag 1 of 25 <br />