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Briefly explain your proposed use of funds: <br /> <br />Funding will provide critical capacity to grow our team of teachers to facilitate local civil <br />rights workshops for thousands of k-12 students in the classroom, online, and at home, reactivate our <br />team of civil rights veterans who share their histories directly to student learners, and for our <br />Community Advocacy Specialist to connect over 110 low-income community elders with critical home <br />repairs, retention tools, and land-loss prevention programs. <br /> <br /> <br />To the best of my knowledge and belief all information and data in this application is <br />true and current. The document has been duly authorized by the governing board of <br />the applicant. <br /> <br /> <br />Signature: 1/14/2021 <br /> Executive Director Date <br /> <br /> Signature: 1/14/2021 <br /> <br /> Board Chairperson Date <br /> <br />DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST AND NON-DISCRIMINATION <br />CLAUSE <br />Are any of the Board Members or employees of the agency which will be carrying out this program <br />or members of their immediate families, or their business associates. <br /> <br /> ☐ ☒ a) Employees of or closely related to employees of the Town of Carrboro, the Town of Chapel <br />Hill, or Orange County? <br /> <br /> ☐ ☒ b) Members of or closely related to members of the governing bodies of the Town of Carrboro, <br />the Town of Chapel Hill, or Orange County? <br /> <br />☐ ☒ c) Current beneficiaries of the program for which funds are being requested? <br /> <br />DocuSign Envelope ID: DA5CF954-7FB4-49AB-99CC-0C1ABAA1F102