Orange County NC Website
3 <br /> ORANGE <br /> COUNTY <br /> ORANGE COUNTY <br /> I �! HIGH IMPACT OPIOID ABATEMENT STRATEGIES <br /> NORTH CAROLINA Funding Proposal Application Form <br /> Before completing application, please review Attorney Application Due Date: February 20, 2026 <br /> General Bondi's Memo providing guidance for recipients <br /> of Federal Funding regarding unlawful discrimination. <br /> See link: https://www.iustice.gov/ag/media/1409486/dl <br /> Applicant Agency: General Information <br /> Legal Name Click or tap here to enter text. <br /> Address Click or tap here to enter text. <br /> Type of Agency ❑ Government/ <br /> check one ❑ Non-Profit ❑ For-Profit Business <br /> Telephone Click or tap here to enter text. <br /> Website Click or tap here to enter text. <br /> Primary Contact Full Name Click or tap here to enter text. <br /> Title Click or tap here to enter text. <br /> Email Click or tap here to enter text. <br /> Telephone Click or tap here to enter text. <br /> Secondary Contact Full Name Click or tap here to enter text. <br /> Title Click or tap here to enter text. <br /> Email Click or tap here to enter text. <br /> Telephone Click or tap here to enter text. <br /> Name of Project Click or tap here to enter text. <br /> Total Application Funding Requested $ Click or tap here to enter text. <br /> Click or tap <br /> Start here to enter End <br /> Funding Period Requested (MM/DD/YYYY) Date text. Date Click or tap here to enter text. <br /> Selected NC MOA Option A Strategy(Number and Name) Click or tap here to enter text. <br /> Agency Mission and Vision Statements Click or tap here to enter text. <br /> Use font size 12 throughout document. <br /> As a separate Excel file,submit a completed Budget Worksheet. <br /> Submit application to tstancil@orangecountync.gov with a subject line of—RFA:Opioid Settlement Funds— <br /> [Organization name]. Will receive Receipt of Application email upon submission. If email is not received within 24 <br /> business hours, reach out to Tonya Stancil, Harm Reduction Coordinator at tstancil@orangecountync.gov. <br /> i <br />