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Formal Petition <br />Page 4 <br />To assist in the timely completion of tasks associated with the <br />implementation of the local JTPA program, we request that you provide the <br />following information. The implementing agency(ies) indicated below may <br />or may not be the same agency(ies) selected by the PIC and CEO to <br />administer the JTPA program once the SDA is established. The use of an <br />implementing agency allows DET to address information to a single point. <br />1. Administrative Entity: Agency Name Regional Co- solidated ;services <br />Address P.G. Box 1883, Asheboro,N.C. 27204 -1883 <br />Contact Person Janice S. Scarborough, Executive Director <br />(Typed Name) - (Title) <br />Telephone Number ( ) 629-514, <br />2. Grant Recipient: Agency Name Regional Consolidated Services <br />Address P.O. Box 1.883, Asheboro, N.C. 27204 -1883 <br />Contact Person Janice S. Scarborough, Executive Director <br />(Typed Name) (Title) <br />Telephone Number ( 919 ) 629- t4l <br />3. Agency Responsible for Private Industry Council development and <br />appointments: <br />Agency Name hegio%al Co solidated Services <br />Address F.G. Box 1883, Asheboro, N.C. 27204 -1883 <br />Contact Person Janice S. Scarborough, Executive Directoz <br />(Typed Name) (Title) <br />Telephone Number ( 919 ) 629 -5141. <br />