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Cover Page Page 6 of 21 <br /> <br />COVER PAGE <br /> <br />Applicant Contact Information <br /> <br />Applicant Organization’s Legal Name: Voices Together <br /> <br />Applicant Organization’s Physical Address: 88 Vilcom Center Dr. Ste. 100, Chapel Hill, NC <br />27514 <br /> <br />Applicant Organization’s Mailing Address: same as above <br /> <br />Applicant Organization’s Web Address: https://www.voicestogether.net <br /> <br />Executive Director: Yasmine White <br /> <br />Telephone Number: 9199422714 E-Mail: info@voicestogether.net <br /> <br />Tax ID Number: <br /> <br />Funding Request <br /> <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 />Program Carrboro - <br />HS <br />Chapel <br />Hill - HS <br />Orange <br />County-HS <br />Total <br /> <br />Voices Together specialized music <br />therapy program <br /> $20,000 $20,000 <br /> <br />Totals $20,000 <br /> <br />Briefly explain your proposed use of funds: <br /> <br />To the best of my knowledge and belief all information and data in this application is true and <br />current. The document has been duly authorized by the governing board of the applicant. <br /> <br /> <br />Signature: 1-14-2020 <br /> Executive Director Date <br /> <br /> <br />Signature: 1-14-2020 <br /> Board Chairperson Date <br />To provide our specialized music therapy program (VOICSSä) to students and adults in Orange <br />County with developmental disabilities to help them transform their own lives. <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />DocuSign Envelope ID: 81A61471-345A-47F9-8A2D-36F7929A6637