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<br />CJPP Application for Continuation of Implementation Funding <br /> <br />[1] ~ Substance Abuse Treatment <br /> <br />~ Assessment <br />~ ROPT <br />~ IOPT <br />~ Support Services <br />~ After Care <br />~ Drug Screens <br />o Other <br /> <br />[2] ~ Educational Services <br />[3] 0 Job Development Services <br />[4] ~ Cognitive Behavioral Intervention <br />[5] 0 Domestic Violence Services <br />[6] ~. Life Skills <br />[7] 0 Sex Offender <br />[8] 0 Others <br /> <br />~ <br />~ <br />~ <br />~ <br />~. <br />~ <br />o <br />~ <br />o <br />~ <br />D <br />~ <br />D <br />D <br /> <br />rage 4 0 r 5 <br /> <br />D <br />D <br />D <br />~ <br />~. <br />~ <br />D <br />D <br />D <br />D <br />D <br />D <br />D <br />D <br /> <br />11. Service Provider Information <br /> <br />[A] List the NON-CONTRACTED (i.e., services at NO COST to CJPP) Service Providers to the <br />program. Attachment 2 <br /> <br />Attach a Copy of Memorandums of Agreement (MOA's) in attachment section for FY 2006 - <br />2007. MOA's should be maintained in Program files on site. <br /> <br />[B] List the CONTRACTED (i.e., services at COST to CJPP) Service Providers to the program. <br />Attachment 3 <br /> <br />Attach a Copy of Proposed or Signed Contracts in attachment section for FY 2006 - 2007. <br />Contracts should be maintained in Program files on site. <br /> <br />Please Note: Attachments are required for contracts and MOA's for FY 2006 - 2007. <br /> <br />12. Project Income <br />Does the program anticipate receiving any Project Income? <br />'~No <br />D Yes (Attach a completed "Project Income Report" fOlm) Attachment 8 <br /> <br />Subml.t one (1) Orl.gl.nal "nd t".o (") CApioS Ar "nnli""tiA" ""rI "ttr,(,hn,o"h: inl'l"rlino <br />4. LI.. '"" \.... v.\o.. VA. "1..JI"".I''-'-'I..J.\'').&1 .....1.'--". .."..".........................., ...........&......~.M <br /> <br />budgets. <br />1-- 10 <br /> <br />http://cipp.doc.state. nc. us/apps/CJPPFiscallCJPPFiscalContro ller'! ACTION=S a veForm <br /> <br />YV200() <br />