Form Naa-01 - Connecticut Neighborhood Assistance Act (Naa) Program Proposal - 2015 Page 2
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5Please check the appropriate description of your program:
Job training/education for unemployed persons aged 50 or over;
Job training/education for disabled persons;
Program serving low-income persons;
Energy conservation;
Child care services;
Open space acquisition fund; or
Other:
Specify
Part II — Program Information
Description of program:
Need for program:
Neighborhood area to be served:
Total number of recipients:
Administration of Program:
Identify every person or organization involved in the implementation and administration of the program.
Use additional sheets if necessary.
1. Name:
Address:
Duties and responsibilities:
2. Name:
Address:
Duties and responsibilities:
Form NAA-01
(Rev. 02/15)
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