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Name of Orgamzat~on: <br />5treat Address. 715 <br /> <br /> Li. A. <br /> <br /> 2002 ~I~ANT ,~?PLZCA 7~ON <br /> <br />NOTE: The 2003 grant was announced last week and <br /> must be submitted by August 6, 2003. The <br /> 2002 application is submitted as a sample. <br /> <br />4-H SOS GOLDMINERS <br />Cabarrus Ave. West <br /> <br />C~ty: Concord <br /> <br />Off,ce Telephone: 704-920-3312 ext. <br /> <br />E-mail address: Linda_McGlamery@ncsu. edu <br /> <br />Name and Y,tJe of Contact for th,s Proposal: .,, Linda <br /> <br />Total Annual Organizational Budget: $ <br /> <br />Communities~Counties Served: J.N. <br /> <br />Number of Prod Staff: F/T <br /> <br />Amount P. equested: $ 40,000 <br /> <br />Web site: <br /> <br />McGlamery, <br /> <br />5tare: NC Z~p Code: <br /> 704-792-0539 <br /> <br />28027 <br /> <br />Director 4-H $OS,.Go]dmln~r.~/PACK <br /> <br />134,068 <br /> Yearorganizat,onfounded: 1996 <br /> <br />Fries, Mt. Pleasant & Concord Middle Schools/Cabarrua <br /> <br /> P/T 15 NumberofVolunteers: Averaoe 9 per w~k <br /> <br /> Budget for program for wh,ch funding is requested: $ 7 0,9 1 0 <br /> <br />Numbers of youth served by entire orqanization: 2000 Actual 82 2001Actual 113 200Z Estimated 125 <br /> <br />Numbers of youth you expect to serve ,n Z002 with the proqram for which fundinq is requested: <br /> <br />0-5 yr. olds 6-9 yr. olds 10-12. yr. olds 2 5 13-14 yr. olds l 0 15-17 yr. olds__t8-20 yr. olds__ <br /> <br /> 45 %male 55 %female <br /> <br />Numbers of youth you expect to serve in 2002 with this qront: 10-12 yr. olds 5 0 13-14 yr. olds 10 15-17 yr. olds__ <br />Please complete for the pr~ram for which fundinq is requested: <br /> <br />Total number of wee~ program will I~t: 34 Number of days program will meet e~ch week: 5 <br /> <br />Number of hours program will meet each day: 4 <br /> <br />Please provide a brief, one-~o sentence description of this request: <br /> <br /> The 4-H SOS Gol~iner~ pr~r~ providem for a population who fr~uently are unsu~rvis~ <br /> during the critical after~chool hours. Funding sup~rt is ne~ to continue offering <br /> ~ervice~ to youth and their f~ily as identifi~ by school a~inistration and parents. <br /> <br />organization requ~in~ fundin~ is a non-profit 501[cX3) t~-~empt char/table organization and does not dlscrimlnat~ on the <br />basis of race, re/i~Ibn, ~ender, sexual arlentoti~n, dlkabi7i~ or natlona/ ori~in. <br /> <br />/bATE <br /> <br /> <br />