Orange County NC Website
- DocuSign Envelope ID:9DA2D4AC-2348-434E-9B84-9BF3524778E5 <br /> COVER PAGE <br /> Applicant Contact Information <br /> Applicant Organization's Legal Name:Orange County Partnership for Young Children <br /> Applicant Organization's Physical Address: 120 Providence Road,Suite 101,Chapel Hill, NC 27514 <br /> Applicant Organization's Mailing Address:Same as above <br /> Applicant Organization's Web Address:www.orangesmartstart.org <br /> Executive Director: Robin Pulver <br /> Telephone Number:919-967-9091 E-Mail:rpulver@orangesmartstart.org <br /> Tax ID Number:56-1844192 <br /> Funding Reguest <br /> Please list all Fiscal Year 2021 Human Services(HS)funding requested for all programs and the proposed <br /> use of funds(please list program name only) <br /> Proaram Carrboro- Chapel Hill Orange Total <br /> HS -HS County-HS <br /> Ex 16uth.f1fterschoolProgrtttr $10,000 $15,000 $50000 $30,000 <br /> Operations of Petsonnod OperationsPersonnel Operations <br /> Early Literacy Initiative $6,000 $6,000 $6,000 $18,000 <br /> Operations/ Operations/ Operations/ <br /> Personnel I Personnel I Personnel <br /> Totals $61000 $6,00o $6,000 $18,000 <br /> Briefly explain your proposed use of funds: <br /> These funds will be used to support personnel costs related to the implementation of the initiative. <br /> Also,funds will be used to pay for meeting materials,meeting expenses,and partial licensing fees. <br /> To the best of my knowledge and belief ail information and data in this application is true and <br /> current. The document has been duty authorized by the governing board of the applicant. <br /> Signature: a42�C <br /> Executive Director Date <br /> Signature: <br /> Board Chairperson Date <br /> Cover Page Page 6 o 21 <br />