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DocuSign Envelope ID:2164F437-BF9D-46A1-B13B-7740B02003DA t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> After-School 0 <br /> Activities X 0 0 0 <br /> Mentoring <br /> Transportation <br /> Housing <br /> Other: Please <br /> specify <br /> Indicate the type of program for which you are requesting funding: <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? The Program addresses the Goal to ensure a community network of <br /> basic human services and infrastructure that maintains, protects and promotes the well- <br /> being of all county residents and Priority 4 which aims to review services to identify and <br /> protect 'safety net' programs and services. <br /> Our Agency provides youth from Kindergarten through 12th grade with an after-school <br /> youth development program focused on three main goals or outcomes: Academic success, <br /> Good Character and Citizenship, and Healthy Lifestyles <br /> The PRIORITY OUTCOMES are: <br /> 1.Academic success in school with end-goal to graduate from high school ready for college, <br /> trade school, military or employment. <br /> 2. Good character and citizenship- to become an engaged citizen involved in the community, <br /> register to vote and model strong,positive character; <br /> 3. Healthy life style- to adopt a healthy diet,practice good lifestyle choices and make a <br /> lifelong commitment to fitness. <br /> While all children are eligible to join, the Club focuses on the population who "needs us most," <br /> those unable to access other Chapel Hil-Carrboro after-school programs, even on scholarship, which <br /> often have waiting lists and which present transportation problems. <br /> Providing after school academic enrichment and development to children who currently are <br /> poorly served or served not at all, centrally fills the stated Goal of maintaining,protecting and <br /> promoting the well-being of all of our county residents with this 'safety net' Program. <br /> c) Describe the local need or problem to be addressed in relation to the Consolidated Plan or <br /> other community priorities (i.e. Council/Board Goals). Cite local data to support the need for this <br /> program and the population being served. <br /> A needs survey found that, although there are many activities for children in the Chapel Hill- <br /> Carrboro area, most of them have waiting lists, have costs that prohibit low income children from <br /> taking part and are not open long enough or often enough to be helpful to and useful for our <br /> target population goals. <br /> According to the Chapel Hill City Schools web site, 35.38% of the student population at the <br /> Northside School currently is qualified for free or reduced lunch. <br /> In addition, 600 families in Chapel Hill/Carrboro live on $15,000/year or less and children in these <br /> families cannot afford any of the programs or after school, even on scholarship. After-School <br /> programs have consistent waiting lists and also pose transportation difficulties.. <br /> These kids are left to wander the streets during the most dangerous hours for kids- when they <br /> Main Application 5/24/2016 8:59:25 a5/p5 Pag 6 f 23 <br />