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Exhibit A- continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> 3. (1) PROJECT/PROGRAM INFORMATION <br /> Agency& Program Name: Orange County Rape Crisis Center– Client Services <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 /> Oisabted IPubi�c f"lous�ng <br /> fi�r�c�r�m Oa(ec�ory Mouth Adult ;Elderly {a�ot I+�etc�laborhoAtlsl <br /> ;elder: fesderats„ <br /> Education <br /> Health and Nutrition <br /> Job Training <br /> Sports and Arts <br /> Activities <br /> Pre-School Activities <br /> After-School Activities <br /> Mentorin <br /> Transportation <br /> Housing <br /> Other: Human Services X X X X X <br /> Main Application 1/25/2016 12:55:42 PM Page 6 of 32 <br />