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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 /> The HAC board works to operationalize its strategic goals, particularly as they <br /> related to board development and fundraising. <br /> Throughout the calendar,the HAC will be offering its ongoing special events and programming. <br /> g) Provide a bulleted list of other agencies, if any, with which your agency <br /> coordinates/collaborates to accomplish or enhance the Projected Results in the Program(s) <br /> to be funded. For each, give specific examples of the coordinated/collaborative efforts. <br /> Agency Collaboration <br /> Most of our informal relationships will continue as they have to date. We enjoy longstanding partnerships <br /> that support our shared interests with the Orange County Library, Burwell School, and St. Matthew's <br /> Church. <br /> Given the focus afforded by our Program Coordinator, some key relationships will deepen in terms of <br /> contact, such as sharing in the outreach to the Fairview community with the Orange County Historical <br /> museum. A few relationships will hopefully be formalized through descriptions of mutual expectations, such <br /> as the arts programming to be offered to school age children. <br /> h) Describe what would happen if requested funding is not awarded at all or if a reduced <br /> allocation is recommended. <br /> Describe Impact of Reduced/No Allocation <br /> The impact of little or no support from Orange County will show up in the form of missed opportunities and <br /> delayed development of our infrastructure. While the HAC will always rely on the passion and efforts of its <br /> volunteers, our community is demanding a higher level of service that can only be sustained with the focus <br /> of professional staff and the investment in organizational strategic planning. We want to step up and meet <br /> our community's demand for involvement in the arts. Our traditional dedicated core of volunteers have <br /> worked hard, enjoyed great success, and are beginning to show signs of fatigue. Without a focused,formal <br /> staffing and administrative structure the most likely alternative is to scale back on what we are doing, which <br /> would negatively affect both community spirit and tourism. <br /> i) Include any other pertinent information. <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 /> Main Application 1/22/2016 8:56:04 AM Page * • f 2 <br />