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P/ease ~pe ar print clearly. <br /> <br />Name of Organization: <br /> <br /> Pl-m.~ ~,lo~p..r.$ USA <br />POSZT3'VE YOUTH DEVELOP~tENT ZNZTZ,4 T'ZVE <br />2000 ~R,4NT APPL. ZC.4 TZON <br /> <br />Street Address: <br /> <br />P.O. Box 387 <br /> <br />City: Concord <br />Name/Title of Contact for this Proposal: <br />Office Telephone: 9nd--~Q~-a~30 ext. __ <br /> <br />E-mail address: pamela_outen@ncsu.edu <br />Amount Requested: $ $70,000 <br /> <br />Communities/Counties Served: Cabarrus <br />Year Organization was founded: 1996 <br /> <br />Number of Paid Staff: F/T P/T ?~ <br /> <br />Number of Youth served by organization: :[998 Actual 122 <br /> <br />State: ur, Zip Code: 28026 <br /> <br />Pamela C. Outen <br /> <br />Web site: <br /> <br />Fax: 704-292-0539 <br /> <br />Total Organizational Budget: $, $145,400 <br /> <br /> Number of Volunteers: 128 <br /> <br />:[999 Actual 174 .2000 Estimated 225 <br /> <br />This proposal includes which of the following services? (P/ease check all that apply.) <br /> ~ Arts/Cultural Enrichment <br /> · l Community Service <br /> ~ Conflict Resolution / Violence Prevention <br /> ~ Life Skills Traln[ng <br /> ~a Meal Provision: Breakfast /Lunch ~/ Dinner (circle all that apply) <br /> M Mentoring <br /> ~L Parental Involvement <br /> <br />Plea~eprovidea/-Zsantancedescriptfonofthisrequest: <br /> <br /> s~ls d~ing the criti~[.after ach~l hours. A definite ne~ to extend the pr~r~ <br /> at one sch~l and add an additional sch~l has ~n identi~ by a~inistration ~ ~rents. <br /> <br />Z ce~ti£y that the information provided in this application is true to thq'be.F~o£ my knowledge. <br /> <br /> P~]:NT NAME SIGNATURE ~' <br /> <br /> ate .5'-/-00 <br /> <br /> <br />