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DocuSign Envelope ID:24839407-DB2D-47A2-B399-3BEA061662C1 t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> 3. PROJECT/PROGRAM INFORMATION <br /> Agency & Program Name: Chapel Hill-Carrboro Meals on Wheels - Meals for the Homebound <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 /> ® 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 <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 <br /> chosen Town/County priority? Chapel Hill-Carrboro Meals on Wheels will provide a <br /> nutritious, affordable meal to residents of Chapel Hill, Carrboro and Southern Orange <br /> County who have an inability to manage meals for themselves. We directly impact the lives <br /> of those who are frail and disabled by providing food assistance to those who are in <br /> economic distress. This directly mirrors the community needs identified in the Chapel Hill <br /> 2011 Human Services Needs Report. <br /> c. Describe the local need or problem to be addressed in relation to the Consolidated <br /> Plan or other community priorities (i.e. Council/Board Goals). The Human Services Needs <br /> Main Application 5/24/2016 9:18:54 AM P 6 of 241 <br />