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DocuSign Envelope ID: E9DE81F9-0070-4074-8F70-93DABC24ACE1 A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> 3. PROJECT/PROGRAM INFORMATION <br /> Agency & Program Name: Compass Center for Women and Families, Domestic Violence Crisis <br /> 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 /> application and supplemental application sections as specified below: <br /> 12 Human Services (Main Application Only) <br /> • AH Non-Construction (Main Application Only) <br /> AH Construction — (Main Application AND Part B) <br /> I AHDR Non-Construction (Main Application Only) <br /> • AHDR Construction — (Main Application AND Part B) <br /> fl CDBG Non-Construction — (Main Application AND Part A) <br /> E CDBG Construction — (Main Application AND Part A AND Part B) <br /> HOME CHDO Set-aside —(Main Application AND Part A) <br /> fl HOME Other —(Main Application AND Parts A AND Part B) <br /> Indicate the type of program for which you are requesting funding: <br /> Public Housing <br /> Program Category Youth Adult Elderly <br /> (nDisabled ot elderly) Neighborhoods/Residents <br /> Education X X X X X <br /> Health and Nutrition <br /> Job Training <br /> Sports and Arts <br /> Activities <br /> Pre-School Activities <br /> After-School <br /> Activities <br /> Mentoring <br /> Transportation X X X X X <br /> Housing <br /> Other: Safety net for <br /> the vulnerable <br /> X X X X X <br /> Proaram/Project 0 scription (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 /> The Domestic Violence Crisis Services Program provides essential crisis intervention and support <br /> services to victims of domestic violence that are unavailable through any other venue in Orange <br /> County. Specifically, the community needs we will continue to address are: <br /> Main Application 1/24/2016 2:59:42 PM Page 7 of 58 <br />