Orange County NC Website
Browse       Search
6 <br /> ESGP Round 5 Application Check List • <br /> Name of Local Government (applicant): County of Orange <br /> Name of Subrecipient: Inter-Faith Council Community Shelter <br /> X 1. Do you have one original and one copy of the following <br /> forms for each Shelter? <br /> X a. Application Summary Form <br /> X b. Community Needs Form <br /> X c. One six page Operations/Services Activities Form <br /> x d. Certification Form <br /> _IL 2. Is the original application signed in ink by the local government <br /> Chief Elected Officer on the Applications Summary Form and on the <br /> Certification Form? (Signature must match typed name) <br /> X 3. Are all questions of the application package answered completely? <br /> X 4. Will all application materials be received by the Division of <br /> Community Assistance on April 10, 1990, or be postmarked by this date? <br /> . N/A 5. If applicable, will both the Certification Form, ESGP #104 and the <br /> signature on the Application Summary Form, ESGP #101 be received or <br /> postmarked on or before May 24, 1990? <br /> Signature Date <br /> Local Government Contact Person <br /> (Should be same as on Application Summary Form) <br />