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DocuSign Envelope ID: DBF0775B-3A75-4D97-9EA7-5AC7933304BF t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> 3. PROJECT/PROGRAM INFORMATION <br /> Agency & Program Name: Hillsborough Arts Council 2016 Sustainable growth Plan <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 /> application and supplemental application sections as specified below: <br /> Type of Application and Program identified <br /> Human Services Funding. Our interest is in receiving a three-year investment of support that will enable us <br /> to begin the work of formalizing our administrative processes and structure, building broader community <br /> partnerships, and developing a sustainable business plan. Please know that we are also open to developing <br /> a fee-for-service contract or receiving a line-item appropriation through a departmental budget, such as the <br /> Orange County Arts Commission. <br /> X❑ Human Services (Main Application Only) <br /> ❑ AH Non-Construction (Main Application Only) <br /> ❑ AH Construction — (Main Application AND Part B) <br /> ❑ AHDR Non-Construction (Main Application Only) <br /> ❑ AHDR Construction — (Main Application AND Part B) <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 Parts A AND Part B) <br /> Disabled Public Housing <br /> Program Category Youth Adult Elderly (not elderly) Neighborhoods/ <br /> Residents <br /> Education X X <br /> Health and Nutrition <br /> Job Training <br /> Sports and Arts <br /> Activities X X X X <br /> Pre-School Activities X X <br /> After-School <br /> Activities X X <br /> Mentoring X X <br /> Transportation <br /> Housing <br /> Other: Please Sustainable <br /> specify Organizational <br /> growth <br /> Main Application 1/22/2016 8:56:04 AM P a • e 5 o f 21 <br />