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NORTH CAROLINA LOCAL GOVERNMENT <br /> APPLICATION FOR FUNDING <br /> SPECIFIC INSTRUCTIONS FOR EM FORM fib <br /> 1-IA Type or print the official legal title of the El agency_address,city, xndrlp code <br /> Enter the current population for year-mund residents and seasonal residents(if <br /> applicable). <br /> 2.1 Type or print clearly the name of the local EM Pmemm Mariana and other EM <br /> staff by name and tide NO ph. Most he the same title as on Position <br /> Description and Snuffing Pattern. <br /> 22 Emergency Management Diru:mdCoordhtmr will enter the percent of time devoted to only <br /> lmergency Menagemen[constants ( e,2%50%,75%, 100%). <br /> hirer the percept of time devoted to Emergency Mnnagemevt activities for each staff <br /> member(ia. 2590,50%. 100%). <br /> Fa[er total annual salary as of July 1,200E (ROUVd ao the nearest dolls) <br /> NOTE: "Total Amoral Salarovo is the amount you need to submit. <br /> Pesc di ages)will he calculated by the state Office. <br /> 3 2 Ewer total amoral paymea i for social security,mtiremen4 insurance and <br /> unemployment. <br /> 33 Enter(oral aampal expenses for subsistence and transportation as it peruins to <br /> the Emergenry Management otfica and consensual. (Round to rbe nearest dollar) <br /> 34 Enter total annual expenses for each line item listed <br /> NOTE: The total should only include(14)All Other and not Travel(3.3). <br /> 41 For State Use Only <br />