Orange County NC Website
DocuSign Envelope ID:FO3CBAC2-B7E2-4CDB-AFA6-CB52A071BA00 t A- continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICAllON <br /> g) Provide a buffeted list of other agencies, if any, with which your agency coordinates/collaborates to accomplish or <br /> enhance the Projected Results in the Program(s) to be funded. For each, give specific examples of the <br /> coordinated/collaborative efforts, <br /> The HHC and the Burwell School have been close partners with the other visitor services agencies in Orange County and Hillsborough <br /> through the Alliance for Historic Hillsborough of which the Commission is a a founding member The Commission is a very active <br /> mernber of the goverthrtg board of the Alltahce,wretch also rnctuders the followtog, <br /> • Ffistoticall Foundation of Orange County(Orange Co, trlistorical US e LIM) <br /> Hillsborough Chamber of Commerce <br /> • Preservation Fund of Hillsborough <br /> • Hiiisborough Arts Council <br /> • Historic District Commission <br /> The Alliance/Visitor Center coordinates several town-wide events with which the Burwell School is active including Colonial Kids Day, <br /> Living History Days,and more These activities are planned and will continue for 2016-17 if the Commission is able to continue to raise <br /> the operational funding necessary to support staff and the facilities costs associated with the School's operation, <br /> The Buniveli School aiso has a very collaborative relat anshrp vii.th the Hthdorough Garden Clieb,which canoes out ho day decorailnd at <br /> the School and holds events soIii as flower shows at the site as pad of tee ectscatton arid Etteattttftstation mission trt the town <br /> h) Describe what would happen if requested funding is not awarded at all or if a reduced allocation is recommended. <br /> If allocations is not provided the Commission will not be able to make much-needed safety and accessibility upgrades to the front <br /> entrance of the Burwell School and will be unable to support the staff time required to expand services to elder adults and the expansion <br /> of educational resources featuring Elizabeth Hobbs Keckly, <br /> V'roil.1 ram/Proiect <br /> a) Complete the Target Population and Program Beneficiary Demographics Chart <br /> b) Complete the Schedule of Positions Chart for Program Staff <br /> c) Disclosure of Potential Conflicts of Interested must be signed <br /> d) Complete the Work Statement Chart to describe the work to be performed, and be sure to <br /> attach copies of 101 data collection tools that will be used to verify achievement, of program <br /> goals and objectves, Describe who will be responsible for monitoring progress, <br /> Information to Complete <br /> J.) Target Population <br /> Complete the following tables to the best of your ability„ Show numbers of participants and <br /> percentages, as appltcable in each category, <br /> Please indicate whether this project/program wiii serve, H Pers.,,wls H Ft ,usen-lds H Units <br /> Program: <br /> Program Beneficiary Demo raphics <br /> Actual Estimated Projected <br /> 2014-15 2015-16 2016-17 <br /> Gender <br /> Male 45% 45% 45% <br /> Female 55% 55% 55% <br /> 1 00% <br /> 1 00°/o <br /> 100% <br /> Total <br /> Main Application 1/25/2016 1:26:31 PM <br />