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DocuSign Envelope ID:FO3CBAC2-B7E2-4CDB-AFA6-CB52A071BA00 t A- continued <br /> Provider's Outside Agency Application <br /> MAIN APi tICATlON <br /> PROJECT/PROGRAM INFORMATION <br /> Agency & Program Name' The Historic Hillshorugh Commission: Visitor Seryices the <br /> EILLLell School Historic Site <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 supplementai sections (Parts) as specified below' <br /> 17: <br /> human Services (Main Application Only) <br /> CDBG Non-Construction —(Main Application AND Part A) <br /> Li CDBG Construction —(Main Application AND Part A AND Part B) <br /> LIII1 !, 101,,,,,i1E. CHDO Set-aside — Ap.tication AND Part A) <br /> LI HOME Other — (10 ain A h'Illication AND Part A AND Part B) <br /> Indicate the type of program for which you are requesting funding: <br /> Disabled Public Housing <br /> Program Category Youth Adult Elderly <br /> (not elderly) Neighborhoods/Residents <br /> Education 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 <br /> Housing <br /> Other: Please <br /> specify (local history <br /> & culture) <br /> x x x x x <br /> , a esao s eys s 'ullIned be II rlOt fi pac.)es <br /> Please provide the following information about the proposed program/project: <br /> ft))Summarize the program services proposed and how the program will address the chosen town/county priority? <br /> The Historic Hillsborough Commission proposes to (1) implement new visitor experiences at the Burwell School Historic Site, (2) build <br /> a structure that will provide volunteer opportunities for people of ALL ages in the local community and (2) improve the safety and <br /> walicability of the site. <br /> Main Application 1/25/2016 1:26:31 PM <br />