Laserfiche WebLink
Name of Pw/~m <br /> <br /> DMSION OF YOUTH SERVICES - CBA <br /> PROGRAM AGREEMENT <br /> <br />Home-Based Services <br /> <br />County's Federal I.D. Number 566000281E <br /> <br />Sponsoring Agency Cabarrus County Department of <br /> <br /> Social Services <br /> <br />ConmctPemon(name & ad.ess) <br /> <br /> Dee Dee Wright. SWS TTT <br /> P.O. Box 668 <br /> <br /> Concord, North Carolina Z~28026-0668 <br /> <br />Phone#(2~..786-7141 Fax#~0~:. 788-8420 <br /> <br />Re~rralSo~ces District Court Judges <br /> <br /> Juvenile Court Counselors~ Parents/Caretaker, <br /> <br />School Personnel1 Department of Social Services <br /> <br /> CABARRUS <br /> <br />Progrmm Type <br /> <br />Funding Period <br /> <br /> 7/01/96 thru 6/30/97 <br /> <br />CBA Assigned I.D. # <br /> <br /> 213005 <br /> <br />New Program <br /> <br />Continuation X <br /> <br />*Client Capacity 56 . Anticipated average length of stay 120 (days). <br /> <br /> Estimated number of youth to be served during funding period 60 <br /> <br /> *Actual number of youth admitted last f-meal year: <br /> <br /> 5 6 Reported ming Client Tracking Forms <br /> NA Reported using Annual Program Review <br /> 36 # Juvenile Court or law enforcement referred, 100 % <br /> <br />Date received in Regional Office <br /> <br /> Please submit 4 copies with original signatures. <br /> <br /> *lfthe funds being requested will be Used for more than one program component please provide this information for each <br /> component on a separate sheet <br /> <br />DYSfREV. 10-95} *The Fourth Quarter Report from FY 94-95 is being used to provide <br /> statistical information for the entire fiscal year. <br /> <br /> <br />