Laserfiche WebLink
<br />Program Agreement <br />DEPARTMENT OF JUVENILE JUSTICE AND <br />DELINQUENCY PREVENTION <br /> <br />SECTION I <br /> <br />FUNDING PERIOD <br />I July 1, 2006-June 30, 2007 <br />COUNTY <br />I Cabarrus <br /> <br />SPONSORING AGENCY <br />Please check type: <br /> <br />DJJDP PROGRAM FUNDING # (continuation only) <br />I 313026 <br />AREA <br />I Piedmont <br />MULTI-COMPONENTS Dyes [iJ No <br /> <br />D Public <br /> <br />[iJ Non-Profit <br /> <br />FederallD # <br /> <br />86-1137983 <br /> <br />NAME OF PROGRAM <br /> <br />I ALPHA <br /> <br />PROGRAM COMPONENTS <br /> <br />DJJDP PROGRAM TYPE TOTAL COST OF <br />COMPo 10# NAME OF COMPONENT (enter one choice per component) EACH COMPONENT <br />313026 Juvenile Sex Offender Counselina Caunselina Services <l:~7 1 '''' <br /> TOTAL COST OF COMPONENTS .$37166 <br /> <br />Does this program have a Standardized Program Evaluation Protocol (SPEP) rating? <br /> <br />Compo 10# Component Prevention <br />Compo 10# Component Prevention <br />Compo 10# Component Prevention <br /> <br />PROGRAM MANAGER name & address (same person on signature page) <br /> <br />D No Dyes <br /> <br />Court Supervision <br />Court Supervision <br />Court Supervision <br /> <br />NAME IDonna Wise/Shirley Dennis I TITLE IPresident/Area Manager <br />ADDRESS 117 Cabarrus Avenue West <br />CITY Concord STATE NC ZIP I 28025 <br />PHONE 704-720-7770 EXT. I FAX 704-720-7781 <br />EMAIL dwiset1il.qenesis-anb. com and sdennist1il.aenesis-anb. com <br /> <br />CONTACT PERSON (if different from program manager) <br /> <br />NAME IShirley Dennis I TITLE IArea Manager & Counselor <br />ADDRESS 117 Cabarrus Avenue West <br />CITY Concord STATE NC ZIP I 28025 <br />PHONE 704-720-7770 EXT. I FAX 704-720-7781 <br />EMAIL sdennist1il.qenesis-anb. com <br /> <br />PROGRAM FISCAL OFFICER (should not be program manager) <br /> <br />NAME ITerry Wise I TITLE IVice-President <br />ADDRESS 117 Cabarrus Avenue West <br />CITY Concord STATE NC ZIP I 28025 <br />PHONE 704-720-7770 EXT. I FAX 704720-7781 <br />EMAIL twiset1il.aenesis-anb. com <br /> Submit 5 copies with REVISED 2006 <br /> DJJDP USE ONLY: <br /> oriainal sianatures Date received in Area Office I <br /> <br />F-I~ <br />Page 1 of 10 <br />