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DocuSign Envelope ID:7D246B6F-37D5-48F7-99D7-98C230BA1C70 it A continued <br /> Provider's WATIV Ogri18 pdNcation <br /> 3. PROJECT/PROGRAM INFORMATION <br /> Agency & Program Name: Behavioral Insights, Inc., Sentencing Plan Service <br /> As you complete your application, complete only those sections that pertain to the type of <br /> application you are submitting. The application is divided into several sections and not all sections <br /> apply to every project. Every applicant MUST complete the main application. <br /> a) Check the type of funding request for this application package submittal and complete the <br /> required application and required supplemental sections (Parts) as specified below: <br /> XE Human Services (Main Application Only) <br /> ❑ CDBG Non-Construction —(Main Application AND Part A) <br /> ❑ CDBG Construction —(Main Application AND Part A AND Part B) <br /> ❑ HOME CHDO Set-aside —(Main Application AND Part A) <br /> E HOME Other —(Main Application AND Part A AND Part B) <br /> Indicate the type of program for which you are requesting funding: <br /> Program Category Youth Adult Elderly Disabled Public Housing <br /> (not elderly) Neighborhoods/Residents <br /> Education X X X X <br /> Health and Nutrition <br /> Job Training <br /> Sports and Arts <br /> Activities <br /> Pre-School Activities <br /> After-School <br /> Activities <br /> Mentoring <br /> Transportation <br /> Housing <br /> Other: Please <br /> specify---linkage to <br /> programs to address <br /> instability; and <br /> underlying issues <br /> with information and <br /> referral <br /> X X X X <br /> Program/Project Description (Label your responses as outlined below; not to exceed 3 pages.) <br /> Please provide the following information about the proposed program/project: <br /> ��k�{��;�A�z � ` r 5 x 3 E e f : t ✓t't s 1 � s?`f�������� <br /> Main Application 1/20/2016 4:35:53 PM Page 7 of 21 <br />