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DIVISION OF YOUTH SERVICES - CBA <br /> <br /> PROGRAM AGREEMENT <br /> <br />Name of Program Temporary Shelter Care Project <br /> <br />Sponsoring Agency Cabarrus county <br /> <br /> Department of Social Services <br /> <br />Contact Person (name & Address) <br /> <br /> Mrs. Carolyn Eury <br /> <br /> Cabarrus County Department of Social Services <br /> <br /> P. O. Box 668 Phone 704-786-7141 <br /> Concord, N. C. 28026-0668 <br /> <br />County <br /> <br /> Cabarrus <br /> <br /> Program Type <br /> <br />~Temporary Shelter Care <br /> Funding Period <br /> 7/1/94 thru 6/30/95 <br /> <br />Referral Sources Juvenile Court, Family Ceurt <br />Counselors, Mental Health Center, Schools, New Program <br />Department of Social Services, Family, Law Continuation X <br /> <br /> Enforcement <br /> <br />* Client Capacity 5 Anticipated average length of stay 90 <br /> <br />(days). Estimated number of youth to be served during funding period <br /> <br />CBA Assigned I.D. <br /> 213011 <br /> <br />2O <br /> <br />Actual number of youth admitted last fiscal year: <br /> <br />22 <br /> 0 <br />16 <br /> <br />Reported using Client Tracking Forms <br />Reported using Annual Program Heview <br /># Juvenile Court or law enforc-ment referred <br /> <br />73% <br /> <br />Please submit 4 copies with original signatures. <br /> <br />*If the funds being requested will be used for more than one program <br />component, please provide this information for each component on a separate <br />sheet. <br /> <br />DYS (Rev. 3-93) <br /> <br /> <br />