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DocuSign Envelope ID: CB0C1343-06EB-4BE7-9AF6-62EE77BD69FE t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> 3. PROJECT/PROGRAM INFORMATION <br /> Agency & Program Name: Sexual Health Education and Outreach <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 /> Program Category Youth Adult Elderly Disabled Public Housing <br /> (not elderly) Neighborhoods/Residents <br /> Education X X <br /> Health and Nutrition X X <br /> Job Training <br /> Sports and Arts <br /> Activities <br /> Pre-School Activities <br /> After-School <br /> Activities X <br /> Mentoring <br /> Transportation <br /> Housing <br /> Other: Please <br /> specify <br /> Indicate the type of program for which you are requesting funding: <br /> Main Application 1/21/2016 18:35:26 a1/p1 I:' c 6 of 241 <br />