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DocuSign Envelope ID: ED6C5D54-7108-4169-9541-C2FDA3EC8CA6 t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> 3. PROJECT/PROGRAM INFORMATION <br /> Agency & Program Name: Orange County Disability Awareness Council <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 /> required application and required supplemental sections (Parts) as specified below: <br /> ® 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 /> Program Category Youth Adult Elderly Disabled Public Housing <br /> (not elderly) Neighborhoods/Residents <br /> Education X X X X <br /> Health and Nutrition <br /> Job Training X X X X <br /> Sports and Arts <br /> Activities <br /> Pre-School Activities <br /> After-School <br /> Activities X <br /> Mentoring <br /> Transportation X X X X <br /> Housing X X X X <br /> Other: Technology <br /> Training & Referrals <br /> X X X X <br /> Program/Project Description (Label your responses as outlined below; not to exceed 3 pages.) <br /> Please provide the following information about the proposed program/project: <br /> b) Summarize the program services proposed and how the program will address the chosen <br /> Town/County priority? <br /> • Workshop(s) on disaster preparedness in association with OC EMS, The <br /> Orange Sheriff's Office and Social Services. <br /> • To some extent, collaborative efforts with NC Fair Housing Project and the <br /> Orange County Land-trust to address homeownership to cut down <br /> homelessness of people with disabilities. <br /> • Computer programs. The computer and assistive technology classes educate <br /> Main Application 5/25/2016 9:25:11 AM P 6 of 20 <br />