Orange County NC Website
Browse       Search
DocuSign Envelope ID: DD554565-B9BA-4128-863D-805D6BC56619 t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> • RAFI (Rural Advancement Foundation International): Promotion and support of new <br /> farmers <br /> • UNC Chapel Hill: School of Social Work field placement intern and School of Public. <br /> Health and APPLES intern program <br /> • Chapel Hill Service League: Volunteer and funding support <br /> • Chapel Hill/Carrboro Sunrise Rotary Club: Volunteer and advocacy support <br /> • PORCH (People Offering Relief for Chapel Hill and Carrboro Homes): TTC Farm <br /> both donates and sells produce from the farm to PORCH. PORCH provides service <br /> opportunities to teen program <br /> • Conservation Fund and Resourceful Communities; Provides strategic planning and <br /> fundraising support to TTCF, <br /> • Carrboro Farmers Market: Support for teen program and marketing education <br /> • Lantern Restaurant— Fundraising, marketing collaboration and cooking classes <br /> h) Describe what would happen if requested funding is not awarded at all or if a reduced <br /> allocation is recommended. This funding helps to ensure that our staffing is supported and <br /> that we can retain our translator/interpreter. The translator is critical to the operation and <br /> function of the farm. With a reduced allocation, we would steer human services funding <br /> toward supporting the translator/interpreter and seek other sources of funding for other <br /> personnel. <br /> i) Include any other pertinent information. <br /> Program/Prolect Information <br /> j) Complete the Target Population and Program Beneficiary Demographics Chart <br /> k) Complete the Schedule of Positions Chart for Program Staff <br /> I) Disclosure of Potential Conflicts of Interested must be signed <br /> m) Complete the Work Statement Chart to describe the work to be performed, and be sure to <br /> attach copies of all data collection tools that will be used to verify achievement of program <br /> goals and objectives. 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 applicable, in each category. <br /> Please indicate whether this project/program will serve: A Persons LIJ Households E Units <br /> Program: <br /> Program Beneficiary Demographics <br /> Actual Estimated Projected <br /> 2014-15 2015-16 2016-17 <br /> Gender <br /> Male 491 496 501 <br /> Female 490 495 500 <br /> Total 981 991 1,001 <br /> Of the females, how many are single- <br /> female Head of Households (Omit for <br /> Human Services) <br /> Main Application 1/25/2016 10:25:47 AM ' <br />