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FY2001 Community Transportation Program (CTP) Grant Application <br />SECTION 1 <br />Proposed Services to be Provided <br />PLEASE PROVIDE THE PROJECTED (FY01) INFORMATION IN THE SPACES PROVIDED. IF <br />THERE WILL BE NO CHANGE FROM THE CURRENT YEAR FOR A SPECIFIC ITEM THEN <br />ENTER "NC" IN THE SPACE PROVIDED. <br />SERVICE ALTERNATIVE(S): NC <br />SERVICE DESIGN(S): NC <br />WILL THE APPLICANT BE A COUNTY DEPARTMENT; COUNTY AGENCY; AUTHORITY; OR <br />PRIVATE NON - PROFIT? County Department <br />DAYS OF OPERATION: NC <br />HOURS OF OPERATION: NC <br />ORGANIZATIONAL INFORMATION — INDICATE YES OR NO. <br />WILL THE APPLICANT CONTRACT FOR MANAGEMENT /ADMINISTRATION OF THE <br />TRANSPORTATION SYSTEM? No <br />WILL THE APPLICANT CONTRACT OR SUBCONTRACT FOR OPERATION OF THE <br />TRANSPORTATION SERVICES? Yes <br />WILL THE APPLICANT EMPLOY A REFERRAL NETWORK DURING THE PERIOD OF <br />PERFORMANCE OF THIS APPLICATION? Yes <br />WILL THE APPLICANT TRACK HOW MANY REFERRALS WERE MADE, AND TO WHOM, FOR <br />THE PERIOD OF PERFORMANCE OF THIS APPLICATION? Yes <br />LIST THREE POTENTIAL RESOURCES FOR REFERRAL SPECIFICALLY. <br />[l. TTA; 2. Chapel Hill Transit; 3. Angels on Wheels <br />AGENCY INFORMATION <br />PROVIDE THE NAME OF EACH AGENCY AND PROGRAM THAT IS PROPOSED TO BE SERVED <br />BY THE TRANSPORTATION PROGRAM IN THE SPACE PROVIDED BELOW. CONTINUE ON <br />THE NEXT PAGE IF NECESSARY. <br />AGENCY <br />1. Orange County Dept. on Aging <br />2. JOCCA <br />3. Dept. of Social Services <br />4. Dept. of Social Services <br />5. Orange Enterprises <br />6. Health Dept. <br />7. OPC Mental Health Center <br />8. Orange County Schools <br />9. Cedar Grove Day Care Center <br />10. Wake Opportunities <br />11. OPC Mental Health Center <br />12. Piedmont Health Care Center <br />13. Sports Plex <br />14. Orange County Recreation & Parks <br />PROGRAM(S) <br />EDTAP <br />HCCBG (Nutrition/Senior Center) <br />Medicaid <br />Work First <br />Employment Sheltered Workshop <br />Medical <br />Adult Day Treatment Program <br />Afterschool Program <br />Child care <br />Head Start Program <br />Children's Learning Centeer <br />General Public y <br />Aterschool Child Care <br />Summer Day Camp <br />APPLICATION NCDOT -PTD <br />7 <br />