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DocuSign Envelope ID:9859FC6D-3EEB-4C7D-9891-BE11A53D9413 t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> 3. PROJECT/PROGRAM INFORMATION <br /> Agency & Program Name: United Way of the Greater Triangle: Orange County Food 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 /> 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 /> Program Category Youth Adult Elderly Disabled Public Housing <br /> (not elderly) Neighborhoods/Residents <br /> Education <br /> Health and Nutrition X X X X X <br /> Job Training <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 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 <br /> chosen Town/County priority? <br /> Since October 2014, a committed group of ten to fifteen Orange County stakeholders has convened <br /> monthly to develop the Orange County Food Council. The taskforce has formed the council with <br /> community input and county specific data collected by hosting two community forums and <br /> conducting a quantitative baseline food assessment. The result of these meetings, forums and data <br /> collection has resulted in a a Collaborative Agreement that includes a common purpose, values, <br /> and council structure, and a process for seating members of the council. The taskforce has created <br /> an application for potential members and will have a council seated by May 2016. Over the next <br /> Main Application 5/25/2016 10:30:45 AM P 6 of 26 <br />