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County, North Carolina <br />Request for Standard or Electing Status for the Work First Program <br /> <br />The Board of Commissioners of County voted on <br /> (date) <br />to request [~l Standard or [~[ Electing (Check one) Status for the Work First Program. <br /> <br />The vote was <br /> <br />__ for and against (at least two-thirds in favor). <br /> <br />Commission Chair Signature <br /> <br />Date <br /> <br />The primary contact person for our Work First Block Grant planning process will be: <br /> <br />Name: <br /> <br />Position/Title: <br /> <br />Address: <br /> <br />Due Date: <br />Submit to: <br /> <br />Phone: <br /> <br />Fax: <br /> <br />Email: <br /> <br />September 29, 2000 <br /> <br />Pheon Beal <br />Chief, Economic Independence Section <br />Division of Social Services <br />325 N. Salisbury St. <br />2420 Mail Service Center <br />Raleigh, NC 27699-2420 <br /> <br />Fax: (919) 715-5457 <br /> <br /> <br />