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Name of Program <br /> <br />DMSION OF YOUTH SERVICES - CBA <br /> <br /> PROGRAM AGREEMENT <br /> <br />Home-Based Services <br /> <br />Sponsoring ~qlency , <br /> <br />Cabarrus County Department <br /> <br /> of Social Services <br /> <br />Conta~ Person (nnme & address) <br /> <br /> Yvette Wilder, MSW, Treatment Supervisor <br /> <br /> P. O. Box 668, Concord, North Carolina <br /> <br /> 28026-0668 Phone 786-7141 <br /> <br />Re~alSources District Court Judges <br /> <br /> Juvenile Court Counselors, Parents/Care- <br /> <br />takers, School Personnel, Dept. Social Svcs <br /> <br />Coun~ <br /> <br /> Cabarrus <br /> <br />Program Type <br /> <br /> Non-Residential <br /> <br />Funding Pe~od <br /> <br /> 7/1/93thru6/30/94 <br />CBAAssignedI.D.# <br /> <br /> 213005 <br /> <br />New Program <br /> <br />Continua~on x <br /> <br />*Client Capacity 10 . Anticipated average length of stay 120 <br /> <br />(days). Estimated number of youth to be served during funding period. 30 <br /> <br />Actual nnraber of youth served last fiscal year: <br /> <br />22.. Reported usLng Client Tracking Forms <br /> Reported using Annual Program RevSew <br />22 # Juverdle Court or law enforcement referred <br /> <br />100 <br /> <br />Date received in Regional Office <br /> <br /> Please submit 4 cooies with ofit~nal signatures. <br /> <br />*If the funds being requested w/Il be used for mere 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 />