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DIVISION OF YOUTH SERVICES - CBA <br /> <br /> PROGRAM AGREEMENT <br /> <br />Name of Program Temporgry Shelter Care Pro~ect <br /> <br />Sponsoring Agency Cabarrus County <br /> <br /> Department of Social Services <br /> <br />Contact Person (name & address) <br /> <br /> i Mi~S' C~rolyn 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 />Referral Sources Juvenile Court, Family Court <br /> <br /> Counselors, Mental Health Center, Schools, <br /> <br />Department of Social Services, Family, Law <br />Enforcement <br /> <br />County <br /> <br /> Cabarrus <br /> <br />Program Type <br /> <br />Group Home <br />Funding Period <br /> <br /> 7/1/92 thru 6/30/93 <br />CBA Assigned I.D. # <br /> <br /> 213011 <br /> <br />New Program <br />Continuation X <br /> <br />* Client Capacity, 5 <br /> <br />Anticipated average length of stay 90 <br /> <br />(days). Estimated number of youth to be served during funding period <br /> <br />2O <br /> <br />Date received in regional office <br /> <br />Date received in central office <br /> <br />Date of CBA Approval <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 <br />please provide this information for each component on a separate sheet. <br /> <br />DYS ~Rev. 1/87) <br /> <br /> <br />