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4 <br />NORTH CAROLINA LOCAL GOVERNMENT <br />APPLICATION FOR FUNDING <br />SPECIFIC INSTRUCTIONS FOR EM FORM 66 <br />1.1-1.4 Type or print the official legal title of the EM agency, address, city, and zip code. <br />_ Enter the current population for year-round residents and seasonal residents (if <br />applicable). <br />2.1 Type or print clearly the name of the local EM Program Manager and other EM <br />staff byname and title. NOTE: Must be the same title as on Position <br />Description and Staffing Pattern. <br />7.2 Emergency Management Director/Coordinator will enter the percent of time devoted to only <br />Emergency Management activities (i.e., 25% 50%, 75%, 100%). <br />Enter the percent of time devoted to Emergency Management activities for each staff <br />member (i.e. 25%,SO%v, 100%). <br />Enter total annual salary as of July 1, 2000. (Round to the nearest dollar) <br />NOTE: "Total Annual Salarv" is the amount you need to submit. <br />Percentage(s) will be calculated by the State Office <br />3.2 Enter total annual payments for social security. retirement, insurance and <br />unemployment. <br />3.3 Enter total annual expenses for subsistence and transportation as it pertains to <br />the Emergency M.ana4~er.~ent Uffi~e and per:;annel. (Round to tl-,e nearest dollar) <br />3.~ Enter total annual exp ernes far each line item listed. <br />NOTE: The total should only include. (3.4) All OthE; a;~c' ilot Travel (3.3). <br />4.1 For State Use Only. <br />2 <br />