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<br /> . .~.~ ¡:; <br /> The Partner (Secondary Applicant) <br /> Provide a description of the organization(s) applying as a partner (secondary appli- <br /> cant) in this project. Copy the following two pages and attach for additional partners, <br /> if necessary. Do not complete this form for stakeholders. <br /> 1. Name of organization: See attached. (aooendix #7) <br /> 2. Number of full-time staff: (if applicable) <br /> 3. Number of part-time staff: (if applicable) --- <br /> 4. Number of volunteers: (if applicable) <br /> f <br /> 5. Number of in-kind volunteer hours since 1/1/96: (if'applicable) ¡ <br /> 6. Number of members: (if applicable) <br /> 7. Total annual budget: <br /> <br /> 8. 'What best'describes this organization? (choose all that apply) <br /> 0 Non-profit organization 0 Municipal! county agency <br /> 0 Social service agency 0 Small business association <br /> 0 Neighborhood association 0 Other: <br /> 0 Regional! state govt. <br /> . <br /> 9. Source(s) of funding (check all that apply) <br /> 0 Foundations 0 Individualsl other organizations <br /> 0 Corpora ~ons Ibusinesses 0 . Other: <br /> 0 Government <br /> 10. Population served (check all that apply) <br /> ¡ <br /> 0 National 0 City (name): J <br /> ¡ <br /> 0 Regional (states): 0 County (name): <br /> 0 State 0 Neighborhood (name): <br /> <br /> 11. Date established: _I _I - <br /> 12. ~'fissionl purpose: <br /> <br /> <br /> 14 Application Fom1: Problem-Solving Partnerships (This page must be returned to the COPS Office.) <br />