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DocuSign Envelope ID:AA509FB2-A0C3-456C-9F67-9DDC0879C15B t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> 3. PROJECT/PROGRAM INFORMATION <br /> Agency & Program Name: Farmer Foodshare: Donation Station and POP Market <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 /> x❑ 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 /> ❑ 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 <br /> Health and Nutrition X X X X x <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 <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 /> b) Summarize the program services proposed and how the program will address the chosen <br /> Town/County priority? <br /> The Donation Station program addresses the Human Services Priority Area #3: Improving the <br /> health and nutrition of needy residents. The Donation Station does this by collecting fresh, local <br /> food donated by farmers at farmers markets and bought from those farmers with funds donated by <br /> shoppers at the markets and by funds provided by Farmer Foodshare. Each market is paired with <br /> an agency of their choice, specifically chosen because the agency serves the most urgent hunger <br /> needs and the lowest income populations. The food is delivered the day it is donated for maximum <br /> freshness. <br /> Main Application 5/25/2016 8:50:30 AM Pag 6 of 1 <br />