Orange CountyCitizens’ Review Panel for Human Services
General CRP Fund Distribution Process
FY 2018-2019
NOTICE OF INTENT TO APPLY(ALL AGENCIES)
Due on or Before Friday, September 22, 2017 by 4 p.m.
Please provide the following information on your agency’s letterhead. Please do not exceed two (2) pages. You may submit your agency’s Notice of Intent to Apply and required attachments by faxing them to the attentionof the Citizens’ Review Panel Team at (407) 836-6556 or via email to
. You may also mail or deliver the notice in person to the Orange County Citizens’ Commission for Children,Mable ButlerFamilyCenter,2100 East Michigan Street, 2nd Floor, Orlando, Florida 32806. It is the agency’s responsibility to confirm receipt of all documents that are faxed or emailed. Incomplete forms or forms received without attachments will NOT be accepted.
Legal Name of Agency
Mailing Address
Telephone Number/Fax Number
Website
Authorized Agent Contact Information
(name, title, phone number, and email address)
Proposal Contact Information
(name, title, phone number, and email address)
Required Attachments (Notice of Intent Forms will not be accepted without these attachments)
- Is the agency’s 501(C)3 Determination Letter from the IRS attached?
- Is the agency’s IRS Form 990 attached?
Provide a brief description of agency to include mission statement.
Notice of Intent to Apply - Page 2
NOTICE OF INTENT TO APPLY
REQUEST FOR PROPOSAL AGENCIES
For Agencies applying for one of Orange County’s Requests for Proposal, place a next to the RFP(s) for which your agency intends to apply.
Request for Proposals / Adult Literacy Program
At-Risk Youth West Orange County
Employment & Job Readiness in Support of Eatonville NCF
Employment & Job Readiness in Support of Engelwood NCF
Employment Training for Disabled Adults
English for Speakers of Other Languages (ESOL) Instructional Position in Support of the Oakridge Neighborhood Center for Families
Health & Recreational Programming for Seniors – East & South Orange County
Life Skills Training and Development for Offenders
Services for the Blind & Vision Impaired
Supportive Counseling for Children and their Families with Special Needs
Training for the Deaf/Hearing Impaired
RENEWAL AGENCIES
For Agencies applying as a Renewal Agency, list the name of the renewal program(s) and review panel as reflected in the Panel Assignments section of this manual.
Renewal Program / Review Panel1