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6 - <br /> 5. <br /> APPLICATION FOR PART! OMB App royal No.034&cO43 <br /> 2.DATESUBMITTED Applicant Identifier <br /> FEDERAL ASSISTANCE 02-21-93 NONE <br /> 1.TYPE OF SUBMISSION: 3.DATE RECEIVED BY STATE State Application Identifier <br /> Application Preapplicadon <br /> ❑Construction ❑ Construction <br /> ❑Nan Construction ❑ Non-Construction 4.DATE RECEIVED BY FEDERAL AGENCY Federal Identifier <br /> S.APPLICANT INFORMATION <br /> Legal Name: Organizational Unit T, <br /> ORANGE COUNTY COUNTY GOVERNMENT <br /> Address(give city,county,stare,and zip code): Name and telephone number of the person to be contacted on matters <br /> Orange County involving this application(give area code): <br /> P.O. Box 8181 <br /> Hillsborough, NC 27278 Katherine P. Mangan (Kathy) , RSVP Director <br /> (919) 968-2054 <br /> 6. EMPLOYER IDENTIFICATION NUMBER(OM 7. TYPE OF APPUCANT:(enter appropriate letter in box) <br /> A. State H. Independent School District <br /> 5 i6( — 6 0 0 0 3 2 7 B. County I. State Controlled Institution of Higher Learning <br /> C. Municipal J. Private University <br /> 8. TYPE OF APPLICATION: 0. Township K. Indian Tree <br /> ❑ New XYContinuaiion ❑ Revision E. Interstate L Individual <br /> F. Intermunicipal M. Profit Organization <br /> If Revision,enter appropriate letter(s)in box(es): 0 0 G. Special District N. Other(Specify): <br /> A. Increase Award B. Decrease Award C. Increase Duration <br /> 9. NAME OF FEDERAL AGENCY: <br /> D. Decrease Duration Other(specify): <br /> ACTION <br /> 10.CATALOG PROJECT: <br /> ASSISTANCE DOMESTIC 11. DESCRIPTIVE TITLE OF APPLICANTS PROJ <br /> N MBER: .7 2 • 0 0 2 The RSVP provides <br /> for individuals 60 & over the opportunity <br /> TTTLE: Retired Senior Volunteer Program to serve the communities non-profit agencies <br /> through meaningful and rewarding volunteer <br /> 12.AREAS AFFECTED BY PROJECT(cities,counties,stares,etc.): placements. Placements are based on the <br /> Hillsborough, Chapel Hill, Carrboro volunteer's skills, expertise, interests & <br /> Orange County, North Carolina the needs of the agencies. Agencies are <br /> required to submit detailed job descriptions <br /> �,f aarh asgi crnmPnt <br /> 13. PROPOSED PROJECT: 14. CONGRESSIONAL DISTRICTS OF: . Recrion IV <br /> Start Date Ending Date a. Applicant b. Project <br /> 07-01-93 06-30-94 Fourth Fourth <br /> 15. ESTIMATED FUNDING: 16.IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS? <br /> a. Federal $ 37,515 .00 a YES. THIS PREAPPLICATION/APPLICATION WAS MADE AVAILABLE TO THE <br /> STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON: <br /> b. Applicant $ 39, 305 .00 <br /> DATE <br /> c. State $ .00 <br /> b. NO. ❑ PROGRAM IS NOT COVERED BY E.O.12372 <br /> d. Local $ .00 <br /> 12, 777 ❑ OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW <br /> e. Other $ .00 <br /> -0- <br /> f. Program Income $ .00 17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? <br /> -0- <br /> ❑ Yes If'Yes,'attach an explanation. SI No <br /> g. TOTAL S .00 <br /> 89, 597 <br /> 13. TO THE BEST OF MY KNOWLEDGE AND BEUEF,ALL DATA IN THIS APPUCATIONIPREAPPUCATION ARE TRUE AND CORRECT.THE DOCUMENT HAS BEEN DULY <br /> AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILT.COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED <br /> a. Typed Name of Authorized Representative b. Tale c. Telephone Number <br /> Moses Carey Chair Orange Co. Commissioners 919-732-8181 <br /> axe 7175 <br /> d. Signature of Authorized Representative e. Dale Signed <br /> 03-08-93 <br /> Previous Editions Not Usable Autnonzeo for Local Reproduction Page 1 Standard Form 424(Bev.4-88)Prescnoed oy OMB Circular A.1 C2 <br />