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Name of Program <br /> <br />Sponsoring Agency <br /> <br />DIVISION OF YOUTFI SERVICES - CBA <br /> <br /> PROGRAM AGREEME._NT <br /> Uwharrie Group Home <br /> <br />Uwharrie Homes, Inc. <br /> <br />Contact Person (name & address) <br /> <br />Coun~ <br /> <br />Cabarrus <br />Proyram Type <br /> <br />Jerry Earnhardt <br /> <br />P. O. Box 1026 <br /> <br />Alhomarle. NC 28001 .Phone?04/983-1808 <br /> <br />Re~alSources Juvenile Court; Dept. of Social <br /> <br /> Services, Piedmont Area Mental Health, <br /> <br /> group home,' <br />Funding Pedod <br />7/1/94 ,thru6/30/95 <br />CBA~ssigned I.D.# <br /> <br />New Program X <br />Continuation <br /> <br />*Client'Capacity 5 .. Anticipated average length of stay <br /> <br />(days). Estimated number ofyeuth to be served during funding period <br /> * Counting only Cabarrus County youth <br /> <br />180 <br /> <br />*5' <br /> <br />Actual number of youth served last fiscal year: <br /> <br /> Reported using Client Tracking Forms <br />0 Reported using. Annual Program Review <br />0 # Juvenile Codrt or law enforcement referred <br /> <br />0 % <br /> <br />Date received in Regional Office <br /> <br /> Plea.~e submit 4 conies with orlo~nal signatures. <br /> <br />*If the funds being requested will be used for more than one program component please provide this <br />information for each component on a separate sheet. <br /> <br />DYS (Rev. 3-93) <br /> <br /> <br />