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5 <br />o' B1ueCross BiueShield Foundation <br />' , of North Carolina <br />Emergency Preparedness Grant Program Request for Funding Application <br />Please answer every question using the tab key to move through the application. Do not modify this <br />form in any way. <br />Date Application Submitted: 03-03-06 <br />u .: n .. - ~. .3~.1~ ~,i+iw ~.='~r. ~;ai:=~~::. u.;~.~:-~^~.i_. .rr=.r,~ P ,::.: i k "` ~2 7 ~ 7L Y <br />.._.. ..-.,~~~=u+:z:':~4-a~i{=.~::==iaea:~=r.,ILv~=:T.~a_. >aa;::z;~4ci~11-_as_w:c 's:~'i =!2 <br />o- <br />~A ~~ ~ ~" 'f~€`R~~~~~r~~~r ilj'~:yl 1 =--•'§k aranlcf i, .,_ g~ s_:. n,.r ~:. ,w~lv. r r __ <br />Legal Name of Organization: Orange County Emergency Management <br />(as listed on organization s tax determination letter) <br />Please list any other names under which your organization does business: County of Orange <br />Address (Street, City, State, Zip): P.O Box 8181 <br />County: Orange <br />Phone Number: 919-968-2050 Fax Number: 919-968-4066 <br />Organization Web Address: www.co orange nc.us/ems <br />Executive Director Name: John Link, Jr. <br />Phone: 919-245-2300 <br />Fax: 644-3004 <br />E-mail: jlink@co.orange nc us <br />Grant Request Contact Name: Jack Ball <br />Title: Director, Orange County Emergency Management <br />Phone: 919-968-2050 <br />Fax: 919-968~~4066 <br />E-mail: jball@co.orange.nc us <br />Organization Mission Statement: It is the mission of Orange County Emergency Management <br />to assist persons in need by providing prompt, appropriate, <br />and courteous planning, prevention, intervention, and <br />mitigation of real and perceived emergency situations <br />Provide a brief summary of your organization's history, current programs, goals, and key <br />accomplishments: Orange County Emergency Management was formed in the 1980s as a result of <br />merging the 9-1-1 Emergency Communications Department, with that of the Emergency Medical <br />