Laserfiche WebLink
OFFICE OF JUVENILE JUSTICE <br />JUVENILE CRIME PREVENTION COUNCIL - JCPC <br />PROGRAM AGREEMENT <br /> <br />Name of Pr0gram Cabarrus Cotmty School Health Pro,ran for Mi~e Schools <br /> <br />Sponsorhag Agency r~arrus Health <br /> <br />Program Manager (name & address) <br /> <br /> Jan Cdell, School b~rse Supervisor <br /> <br /> 1307 South Cannc~ Boulevard <br /> <br /> ~anna~olim Zip 28083 <br />Phone# (704) Fax# (704) <br /> 939-1200 ext. 1349 933-3345 <br /> <br />Program Fiscal Officer (name & address) T~,,,,i e Tr~utmar~ <br /> <br />1307 South Cannc~ Boulevard <br /> <br />Phone# (704) <br /> 939-1200 ext. 1212 <br /> <br />Fax # (704~33_3345 <br /> <br />Referral Sources S~ool ~:inaiDal$, faci ] itw, ~uidano~ <br />cx~Y~elors, social ~s, resourc~ officers, fnmilies <br /> <br />o:.',~,~?ity aagencies and self referral. <br /> <br />County <br /> <br />Program Type PreventJ. ca~ and <br /> Hctne F~o-~d Servic~ <br /> <br />Funding Period <br /> <br /> thru <br />033 Assigned ID# <br /> <br />New Program <br /> <br />Continuation <br /> <br />Formula Grant <br /> <br />*Client Capacity N/a, . Anticipated average length of stay N/A <br /> <br />Estimated number of youth to be served during funding period 5200 <br /> <br /> *Actual number of youth admitted last fiscal year: <br /> Reported using Client Tracking Forms or Annual Program Review: <br /> <br />(days). <br /> <br /># Juvenile Court referred <br /> <br /># Law enforcement referred <br /> <br />Date received in Regional Office <br /> <br /> Please submit 4 copies with original signatures. <br /> <br />*If the funds being requested will be used for more than one program component please provide this information for <br />each component on a separate sheet. <br /> <br /> <br />