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DocuSign Envelope ID: EB541A3B-1E01-49AB-9E09-7987ECAEC1C4 I A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> 3. PROJECT/PROGRAM INFORMATION <br /> Agency & Program Name: Rogers Eubanks Neighborhood Association Back To School Bash,Commur <br /> Garden and Summer Enrichment Camp <br /> As you complete your application, complete only those sections that pertain to the type of application you C <br /> submitting. The application is divided into several sections and not all sections apply to every project. EVE <br /> applicant MUST complete the main application. <br /> a) Check the type of funding request for this application package submittal and complete the requir <br /> application and required supplemental sections (Parts) as specified below: <br /> /1 Human Services (Main Application Only) <br /> ❑ CDBG Non-Construction — (Main Application AND Part A) <br /> ❑ CDBG Construction — (Main Application AND Part A AND Part B) <br /> ❑ HOME CHDO Set-aside — (Main Application AND Part A) <br /> C HOME Other — (Main Application AND Part A AND Part B) <br /> Indicate the type of program for which you are requesting funding: <br /> Elderl Disabled Public Housing <br /> Program Category Youth Adult Neighborhoods/Resider <br /> y (not elderly) <br /> Education X X X x __ <br /> Health and Nutrition X X X X <br /> Job Training X X X X __T <br /> Sports and Arts <br /> Activities X X X X _ <br /> Pre-School Activities X X <br /> After-School <br /> Activities X <br /> Mentoring X X X _ <br /> Transportation X X X __ <br /> Housing X X X <br /> Other: Please <br /> specify <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 Town/Count <br /> priority? <br /> • To offer backpacks and supplies to underserved children to improve self-esteem -ft <br /> the upcoming school year. <br /> • For volunteers, children and community will work together to feed underserve <br /> population <br /> Main Application1/25/2016P ,age 7 of 3 <br />