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DocuSign Envelope ID:9F461F1C-C86C-42DC-B78C-50FC18D204DF <br /> EXHIBIT B:CARDINAL MENTAL HEALTH APPLICATION <br /> Program Goal ATI will conduct culturally-congruent research with over 100 <br /> newcomer clients in Orange County. <br /> Performance Measures Number of newcomers participating in quantitative and qualitative <br /> research protocols. <br /> Previous Year Program Results Cardinal's DFA was not evaluated last year. <br /> Current Year Estimated Results Cardinal's DFA was not evaluated last year. <br /> Next Year Projected Results Over 100 newcomers in Orange County will participate in ATI's <br /> research practices. <br /> Agency Budget (See Excel Spreadsheet) ATI's agency budget was provided for a previous grant. <br /> Orange County already has access to this document. <br /> i. Is your agency currently receiving and/or requesting other local government <br /> funding? (YeslNo) Yes, ATI requested the following amount from the county and <br /> towns last January for the NATP, and we were awarded the following amounts for <br /> the 18-19 fiscal year. <br /> If yes, please list below: <br /> Program FY18-19 FY18-19 Source <br /> Award Request <br /> Ex: Affordable Rental 0 $20,000 Carrboro - Affordable Housing <br /> Rehabilitation <br /> EX: Agency Administration $15,000 $15,000 Chapel Hill - Other <br /> Ex. Total $15,000 $35,000 Total Funding <br /> Newcomer Art Therapy Program $3555 $5,000 Orange County- Outside <br /> A enc (Human Services Funding <br /> Newcomer Art Therapy Program $3000 $15,000 Chapel Hill- Outside Agency/Human <br /> Services Funding <br /> Newcomer Art Therapy Program $6000 $10,000 Carrboro- Outside Agency/Human <br /> Services Funding <br /> TOTAL $12,555 $30,000 Total Funding <br /> "Add rows or attach additional page, if needed. <br /> ii. Submit your agency's budget. You may complete the provided template (separate <br /> xis file) or you may submit your own budget file (as long as it contains the same <br /> information, and in a similar format, as requested in the provided template). <br /> PROGRAM INFORMATION 8/28/2018 5:02:49 PM P a g e 8 o i 1 2 <br />