Orange County NC Website
Browse       Search
https://chapelhillnc.workflow.opengov.com/#/explore/records/62492/react-form-details/62492 14/14 <br />Applicant Statement <br />To the best of my knowledge and belief all of the above information is true and <br />current. I acknowledge and understand that the existence of a potential conflict of <br />interest does not necessarily make the program ineligible for funding, but the <br />existence of an undisclosed conflict may result in the termination of any grant <br />awarded. <br />Name of Person Submitting the Application <br />Elizabeth Irwin <br />Agency Role of Person Submitting the Application <br />Director of Development <br />Communications and Grants <br />Agency Representative Signature <br />Elizabeth Irwin <br />Jan 10, 2024 <br />By submitting this application, the agency representative noted above affirms <br />they are either the Executive Director, or, if someone other than the Executive <br />Director is submitting this application, they affirm the Executive Director has <br />reviewed the application for accuracy and approved it for submittal. <br />Approval Details <br />Approved Amount <br />– <br />Exhibit A <br />Docusign Envelope ID: 9B12EC66-D23F-408C-BE60-EBCDE242CC54