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2014 -15 Orange County Children's Therapeutic Arts Center <br />Youth Workforce Investment Act Proposal <br />RFP# 14 -007 <br />PROPOSER APPLICATION <br />Agency Legal Name <br />Orange County Children's Therapeutic Arts Center <br />Agency DBA <br />Orange County Children's Therapeutic Arts Center (OCCTAC) <br />Program Name <br />Job Training for Youth with Disabilities, Probation, Foster Youth & HS Dropouts <br />Program Address <br />2215 North Broadway, Santa Ana, CA 92606 <br />Corporate Office Address <br />2215 North Broadway, Santa Ana, CA 92606 <br />Contact Person & Title <br />Dr. Ana Jimenez -Hami, Executive Director <br />Email <br />ana @occtac.org <br />Telephone # <br />(714) 547 — 5468 ext. 307 <br />Fax # <br />(714) 564 -9690 <br />Federal ID Number <br />33- 0930891 <br />AGENCYSTATUS <br />Public Non - Profit <br />X <br />Corporation <br />uition <br />Private Non -Profit <br />Fundraising <br />Years in Operation. <br />14 <br />Private for Profit <br />1$130,000 <br />Government <br />1$50,000 <br />Other <br />8:30 -8:30 <br />PRIMARY FUNDING SOURCES <br />Funding Source <br />Grants <br />Contracts <br />uition <br />IDonations <br />Fundraising <br />Amount $750,000 <br />1$300,000 <br />J$200,000 <br />1$130,000 <br />J$70,000 <br />1$50,000 <br />HOURS OF OPERATION AND DAYS <br />Days <br />Monday <br />I Tuesday <br />Lwednesday <br />I Thursday <br />Friday <br />Saturday <br />I Sunday <br />Hours <br />8:30 -8:30 pm <br />8:30- 8:30pm <br />8:30 -8:30 pm <br />8:30 -8:30 pm <br />8:30 -8:30 <br />8:00- 5:00pm <br />CLOSED <br />TARGET POPULATION <br />Older Youth 17 -21 Younger Youth 16 -21 Out -of- School 27 3 In- School 7 <br /># of YOU to be Served in 2014 -2015 127 1 Total WIA Funds Requested $212,800 <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 <br />Executive Director 3 -19 -2014 <br />Title Date <br />EXHIBIT A <br />25A -125 <br />