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<br />P.O. Box 8181 * Hillsborough, North Carolina 27278 <br />Telephone: 919 245-2626 <br /> <br />Collaborators: Please provide the following information about all significant collaborators and partners <br />whether or not they will be receiving grant funding for this project. Feel free to copy and paste <br />Questions “a” through ”e” as needed if you have more than one significant collaborator/partner: <br /> <br />a. Date of Incorporation (Month/Year): N/A <br />b. Applicant organization’s <br />Purpose/Mission (2-4 sentences): N/A <br /> <br />c. Please provide a brief description <br />of your organization’s past <br />achievements in carrying out similar <br />projects and evidence of successful <br />record of meeting proposed budgets <br />and timetables (2-4 sentences): <br /> N/A <br /> <br />d. Living Wage: Does this <br />organization pay permanent <br />employees a minimum living wage? <br />(Yes / No) <br /> <br />If yes, is this <br />organization an Orange <br />County Living Wage <br />Certified Employer? <br />(Yes / No) <br /> <br />If no, please briefly <br />explain. <br /> <br />e. Schedule of Positions: <br />a. Number of Full-Time <br />Paid Positons: <br />b. Number of Part-Time <br />Paid Positions: <br /> <br />c. Number of <br />volunteers: <br />Average hours <br />worked per <br />volunteer per month <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DocuSign Envelope ID: E86DD11C-7C3F-4DD6-97F0-CADB5D52D35A