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PROPOSER APPLICATION <br />Agency Legal Name <br />Napsac Sports Apparel Urban Gear Inc <br />Agency DBA <br />X <br />Program Name <br />The Youth Business Network Project <br />Agency Address <br />650 S. Grande Ave. Suite 106 Santa Ana 92705 <br />Contact Person & Title <br />Eddie C. Napper/Myrna T. Pili <br />Email <br />napsacent@aol.com/mvtpili@gmail.com <br />Telephone # <br />714-458-5861/702.569.4455 <br />Fax # <br />714-542-7766/702.441.5542 <br />Federal ID Number <br />27-3115495 <br />AGENCYSTATUS <br />Public Non -Profit <br />I Tuesday <br />Corporation <br />X <br />Private Non -Profit <br />Years in Operation? <br />7yrs <br />Private for Profit <br />X <br />Government <br />10am-7pm <br />Other <br />Funding Source Store Revenue <br />Amount 85K-100XK <br />PRIMARY FUNDING SOURCES <br />HOURS OF OPERATION AND DAYS <br />Days I Monday <br />I Tuesday <br />Wednesday <br />Thursday <br />Friday <br />Saturday <br />Sunday <br />Hours I 10a-7pm <br />I 10a-7pm <br />10a-7pm <br />10am-7pm <br />10a-7pm <br />10a-7pm <br />Closed <br />MY ORGANIZATION WILL OFFER THE FOLLOWING WIA ELEMENTS FOR YOUTH: <br />Tutoring, study skills, training, and instruction, leading to completion of secondary school, including dropout <br />prevention strategies <br />Alternative secondary school services, as appropriate <br />Summer employment opportunities that are directly linked to academic and occupational learning <br />Paid and unpaid work experience, including internships and job shadowing <br />x <br />Occupational skill training, as appropriate, or paid OJT <br />x <br />Leadership development opportunities, which may include community service and peer centered activities <br />encouraging responsibilities and other positive social behaviors during non -school hours <br />x <br />Supportive Services <br />Adult Mentoring for the period of participation and a subsequent period, not less than 12 months <br />Follow-up services for minimum of 12 months after the completion of participation <br />x <br />Comprehensive guidance and counseling, may include drug/alcohol abuse counseling <br />TARGET POPULATION <br />Older Youth x Younger Youth x Out -of -School x In -School x <br /># of Youth to be Served in 2012/2013 115 1 Total WIA Funds Requested 1 $ 12 ),000.00 <br />In compliance with the RFP noted above, and subject to the conditions thereof, the undersigned offers to furnish <br />the services stipulated and certifies he has read, understands, and agrees to all terms, conditions, and <br />requirements of this RFP and is authorized to contract on behalf of the agency named above. <br />Signature i n ' Title s Date' �=Z <br />�s sli <br />Exhibit A 4 <br />