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<br />Cabarrus <br /> <br />County, North Carolina <br /> <br />Request for Standard or Electing Status for the Work First Program <br /> <br />The Board of Commissioners of Cabarrus County voted on 9-20-04 <br />(date) <br />to request - Standard or - Electing (Check one) Status for the Work First Program. <br /> <br />The vote was - for and <br /> <br />against (at least two-thirds in favor). <br /> <br />Commission Chair Signature <br /> <br />Date <br /> <br />.) <br /> <br />The primary contact person for our Work First Block Grant planning proces~ will be: <br /> <br />Name: <br />Position/Title: <br /> <br />James H. Polk <br />Social Work Program Administrator I <br /> <br />Address: <br /> <br />1303 South Cannon Blvd. <br />Kannauolis. NC 28083 <br /> <br />Phone: <br />Fax: <br /> <br />704-920-1481 <br />704-920-1401 <br /> <br />ipolk@cabarrusdss.net <br /> <br />Email: <br /> <br />Due Date: <br /> <br />September 30, 2004 <br /> <br />Submit to: <br /> <br />Sara Anderson Mims, Program Administrator <br />Work FirstlCPS Policy and Data Management Team <br />Family Support and Child Welfare Services Section <br />Division of Social Services <br />325 N. Sansbury St. <br />2408 Mail Service Center <br />Raleigh, NC 27699-2408 <br /> <br />Fax: (919) 715-6714 <br /> <br />An Equal Opportunity/Affmnative Action Employer <br /> <br />G-~ <br />