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DocuSign Envelope ID: 112713E4-A11E-4CO3-B5A6-92020A894CD7 t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> • Food insecurity and basic needs- Because of our longevity OE has strong connections with <br /> Orange Congregation in Mission (OCIM); Interfaith Council for Social Services; Orange <br /> County Department of Social Services and through these relationships we assist our clients <br /> with unmet basic needs including food. We also hold an annual blood collection drive at our <br /> Orange County location in collaboration with the American Red Cross. <br /> • Third Sector Alliance - Through the Third Sector Alliance, OE is able to take an active part <br /> with other funded agencies to "provide a collective voice for the nonprofit sector". OE is <br /> member of the Third Sector Alliance and is represented on the steering committee. <br /> • State Organizations - OE also interacts with other agencies in our field throughout North <br /> Carolina by participating in two organizations, the NC Association for Persons in Supported <br /> Employment (NCAPSE) and the NC Association of Rehabilitation Facilities (NCARF), to <br /> share ideas and training. We have two staff active in the North Carolina Employment First <br /> Steering Committee, one serving as the NCEF co-chair. <br /> • Group Homes/Housing supports and Transportation - Many of the individuals we support <br /> receive services through various residential providers in the area. Housing is extremely <br /> important in employment success. Collaborating with these agencies assists our consumers <br /> in meeting their residential needs. We collaborate closely with OPT and Chapel Hill Transit <br /> as our clients rely heavily on public transportation to get back and forth to work. <br /> h. Describe what would happen if requested funding is not awarded at all or if a reduced <br /> allocation is recommended. <br /> OE has worked hard in the Orange County community for over 40 years. We continually look for <br /> efficiencies and ways to maximize all of our funding. We are so grateful and appreciative to the <br /> funds provided by Orange County, Town of Chapel Hill and the Town of Carrboro. Over the years <br /> we have seen both local and state dollars decrease due to the recession, lack of investment in <br /> social services and mental health needs and constant change to systems of managing Medicaid <br /> dollars and cuts in rates to federal and state dollars. Without the Orange County funds work with <br /> students in the high schools and seniors would be in jeopardy. It is challenging for individuals with <br /> disabilities to find, obtain and keep jobs. Our staff engages in difficult work and we are always <br /> maximizing efficiencies to ensure we are utilizing public dollars efficiently and effectively. <br /> Program/Project Information <br /> j) Complete the Target Population and Program Beneficiary Demographics Chart <br /> k) Complete the Schedule of Positions Chart for Program Staff <br /> I) Disclosure of Potential Conflicts of Interested must be signed <br /> m) Complete the Work Statement Chart to describe the work to be performed, and be sure to <br /> attach copies of all data collection tools that will be used to verify achievement of program <br /> goals and objectives. Describe who will be responsible for monitoring progress. <br /> Information to Complete <br /> j.) Target Population <br /> Complete the following tables to the best of your ability. Show numbers of participants and <br /> percentages, as applicable, in each category. <br /> Please indicate whether this project/program will serve: ® Persons ❑ Households ❑ Units <br /> Program: Transitions to Employment <br /> Program Beneficiary Demographics <br /> Main Application 2/1/2016 11:26:11 AM c of 1 <br />