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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 /> Program Activity 3 "Deliver MORE" "Deliver MORE" "Deliver MORE" <br /> Serve as gateway to other serve as gateway to other serve as gateway to other <br /> services, both tangible and services, both tangible and services, both tangible and <br /> Program Goal informational. informational. informational. <br /> Director keeps a record of Director keeps a record of Director keeps a record of <br /> extra services provided and extra services provided and extra services provided and <br /> all collaborations with all collaborations with all collaborations with <br /> Performance Measures partner agencies. partner agencies. partner agencies. <br /> 250 Clients received <br /> information about Duke <br /> Energy grants,free smoke <br /> detectors from the fire <br /> department, access to <br /> discounted prescription <br /> (only a partial list)The <br /> receive books, magazines, <br /> gifts at the holidays,snack <br /> bags and flowers and cards <br /> Program Results on their birthdays 265 clients impacted 290 clients will be impacted <br /> Main Application 5/24/2016 9:18:54 AM 0 I:°' , 16 of 2 <br />