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DocuSign Envelope ID: D2CB2439-4B3B-42E7-A090-286FDDD6E948 t A - continued <br /> Provider's Outside Agency Application <br /> 3. PROJECT/PROGRAM INFORMATION <br /> Agency & Program Name: Chapel Hill- Carrboro Human Rights Center. Immigrant and Refugee <br /> Community Partners <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 <br /> sections 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 <br /> the 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 /> Disabled Public Housing <br /> Program Category Youth Adult Elderly (not elderly) Neighborhoods/Resident <br /> s <br /> Education X X X <br /> Health and Nutrition X X X <br /> Job Training X X X <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 <br /> pages.) <br /> Please provide the following information about the proposed program/project: <br />