Orange County NC Website
Browse       Search
DocuSign Envelope ID:BF9F1016-CEDB-4BF6-9DF2-A6DAB623164C t A- continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> increasing number of residents of Orange County on an annual basis. The wrap-around services <br /> provided through our Advocate Program, and now with the incorporation of the Integrated Service <br /> Center, have made CEF a go-to resource for everything from getting identification to finding a <br /> home. If the requested funding is not awarded or if a reduced allocation is recommended, CEF <br /> staff will doggedly pursue other fundraising activities to ensure that this reduction in the town or <br /> county's commitment does not translate into a reduction of services. <br /> i) Include any other pertinent information: <br /> Program/Protect 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 E Households E Units <br /> Program: Advocate Pro•ram <br /> Pro*ram Beneficia 0:mo.ra.hics <br /> Actual Estimated Projected <br /> 2014-15 2015-16 2016-17 <br /> Gender <br /> Male 362 374 386 <br /> Female L 282 296 <br /> 301 <br /> Total 703 726 750 <br /> Of the females, how many are single- <br /> female Head of Households (Omit for <br /> Human Services) <br /> Ethnicity <br /> African-American 356 368 380 <br /> American Indian or Alaska Native 16 17 18 <br /> Asian 2 2 2 <br /> Caucasian 197 203 210 <br /> Native Hawaiian or other Pacific <br /> Islander 1 1 1 <br /> Other _131 135 139 <br /> Total 703 726 750 <br /> Of the above, how many <br /> Hispanic/Latino 30 - 31 32 .1 <br /> Main Application 1/25/2016 8:40:17 AM P , 10 of 25 <br />