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MAIN APPLICATION 1. COVER PAGE (Each program requires a separate application.) a) Applicant Contact Information Applicant Organization's Legal Name: The Women's Center Inc. dba Compass Center for Women and Families Applicant Organization's Physical Address: 210 Henderson St. Chapel Hill NC 27514 Applicant Organization's Mailing Address: Post Office Box 1057 Chapel Hill NC 27514 Applicant Organization's Web Address: compassctr.org Executive Director: Cordelia Heaney Telephone Number: (919) 968 -4610 E -Mail: director(a)compassctr.org DUNS Number: 931214985 (Dun & Bradstreet, Inc. provides this number at no charge, and it is required for Federal funding recipients.) b) Project /Program Contact Information Project /Program Name: 1) Domestic Violence Crisis Services 2) Self Sufficiency Programs: Legal Information Financial Education & Career Preparedness 3) Community Education & Civic Engagement Project /Program Primary Contact and Title: Ardith Burkes, Associate Director Telephone Number: (919) 968 -4610 c) Funding Request Identification Total Project/Program Cost: $600.385.33 E -Mail: programsdirector (aicompassctr.org Total Amount of Funds Requested: $102.200.00 Proposed Use of Funds Requested (2 -3 Line Maximum): connections to community resources youth and adult training and education on the prevention of interpersonal violence and civic engagement related to women's and gender issues Please check all types, sources, and amounts of funding being requested. You must submit an application package for each funding source. *The Participating Jurisdiction reserves the right to fund projects from any funding source, subject to eligibility and funding constraints. ❑ CDBG Non - Construction (CH) $ ❑ Grant ❑ Loan ❑ CDBG Construction (CH) $ ❑ Grant ❑ Loan ❑ HOME CHDO $ ❑ Grant ❑ Loan ❑ HOME Other $ ❑ Grant ❑ Loan ® Human Services: ® Carrboro $8_,400 ® Chapel Hill $29.300 ® Orange County $64,500 Main Application 1/24/2016 2:59:42 PM Page 3 of 58