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/0 <br />RFA # AO64 Application Form <br />Cover Sheet <br />Local Health Department: Federal Tax ID #: <br />Orange County Health Department 56-6000327 <br />Name & Title of Primary Contact: <br />Ellen Young, Health Promotion Coordinator <br />Address: 2501 Homestead Road <br />Chapel Hill, NC 27516 <br />Telephone: (919) 968-2022 x292 FAX: (919) 969-4777 <br />Email: eyoung@co.orange.nc.us <br />Brief Description of Proposed Intervention (no more that 50 words): <br />This project will bring together public health educators, land use planners, <br />and senior services professionals to work with senior citizens and other local <br />residents to promote physical activity in the neighborhood surrounding a <br />planned new Orange County Senior Center, an existing human services center, <br />and an existing community park. <br />Area Served & Target Audience of Proposed Project: <br />Southern Orange County/ Senior Citizens and other neighborhood residents, <br />including children <br />Total Funds Requested: $ 19,890 <br />Health Director's Signature <br />Project Coordinator's Signature <br />Title: <br />