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DocuSign Envelope ID:A3E0213B-1DCD-43A3-9C41-A2EC55A8CA94 t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> • Orange County Health Department:"WIC" and other maternity/young <br /> children related programs make referrals for food, baby formula, and diapers. <br /> • Lutheran Family Services, RHA and other mental health case <br /> management programs; Social workers and case managers refer clients to <br /> the Samaritan Relief Ministry for food. <br /> • Orange County Schools: Social workers refer students and their families for <br /> food. During the holidays some schools hold food drives that are vital to <br /> restocking the Samaritan Relief Ministry food pantry. For the past two years, <br /> Cedar Ridge High School has also held a coat drive and the coats were <br /> brought to the Samaritan Relief Ministry for distribution to people needing <br /> warm coats. <br /> • Private and Charter Schools: These schools are becoming more active in <br /> collecting food for the pantry. <br /> • Area Congregations: Pastors of OCIM member congregations make <br /> referrals for food and financial support for people within these congregations. <br /> Food is available to people who are initially unaware of Orange County <br /> Department of Social Services and choose to go to churches for help. Many <br /> donations to the Samaritan Relief Ministry food pantry come through monthly <br /> food collections as well as general donations to the Samaritan Relief Ministry. <br /> Many of the Samaritan Relief Ministry volunteers come from member <br /> congregations. <br /> • Orange County Sheriff's Office: During the holidays, the Sheriff's Office <br /> makes referrals of individuals and families in Orange County who could use <br /> extra help with a traditional holiday meal. These are families who may not <br /> have previously been identified as needing help. The Sheriff's Office delivers <br /> these holiday boxes. The Sheriff's Office held a food drive and sock drive in <br /> 2015. The Samaritan Relief Ministry received donations from both of these <br /> drives. <br /> • Food Bank of Central and Eastern NC: The Samaritan Relief Ministry <br /> receives food at low or no cost. <br /> • Inter-Faith Food Shuttle: The Samaritan Relief Ministry receives produce <br /> and other food at a low fee. The food has previously been delivered at no <br /> cost to our agency. Because of their own budget challenges, a small fee will <br /> be charged, beginning January 2016. <br /> • PORCH Chapel Hill & Hillsborough: The Samaritan Relief Ministry pantry <br /> receives monthly donations of non-perishable food items from local <br /> neighborhoods. <br /> • Food Lion Stores: Local Food Lion stores are donating "pulled" or "near <br /> date" produce, meat, and bakery goods. They also provide food through the <br /> sale of their "Holiday's without Hunger" boxes. <br /> • Weaver Street Market: Through special fundraising campaigns, the pantry <br /> receives weekly deliveries of fresh eggs and apples. <br /> h) Describe what would happen if requested funding is not awarded at all or if a <br /> reduced allocation is recommended. <br /> If the Samaritan Relief Ministry did not receive funding from Orange County, fresh milk and <br /> meat purchases would be greatly reduced, (we purchase nearly $800 worth of milk a <br /> month); 85 households would not receive help with rent and utilities, and the program <br /> manager would have to either have a cut in pay or funds would have to be diverted from <br /> Main Application 5/25/2016 9:39:17 AM 0 I:° of 22 <br />