Orange County NC Website
DocuSign Envelope ID:BF9F1016-CEDB-4BF6-9DF2-A6DAB623164C t A- continued <br /> Provider's Outside Agency Application <br /> MAIN APP LICA ION <br /> 3, PROJECT/PROGRAM INFORMATION <br /> Agency & Program Name: _Community Empowerment Fund, Advocate Program <br /> As you complete your application, complete only those sections that pertain to the type of <br /> application you are submitting. The application is divided into several sections and not all sections <br /> apply to every project. Every applicant MUST complete the main application. <br /> a) Check the type of funding request for this application package submittal and complete the <br /> required application and required supplemental sections (Parts) as specified below: <br /> 01 Human Services (Main Application Only) <br /> El CDBG Non-Construction — (Main Application AND Part A) <br /> El CDBG Construction — (Main Application AND Part A AND Part B) <br /> El HOME CHDO Set-aside — (Main Application AND Part A) <br /> El HOME Other — (Main Application AND Part A AND Part B) <br /> Indicate the type of program for which you are requesting funding: <br /> Disabled Public Housing <br /> Program Category Youth Adult Elderly <br /> (not elderly) Neighborhoods/Residents <br /> Education <br /> Health and Nutrition <br /> MEIN' <br /> Job Trainin• <br /> Sports and Arts <br /> Activities <br /> Pre-School Activities II <br /> After-School <br /> Activities <br /> Mentoring X <br /> Transportation <br /> Housin• <br /> Other: Please <br /> specify <br /> Main Application 1/25/2016 8:36:39 AM - 1 <br />