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DocuSign Envelope ID:82431AC9-7F03-4084-815E-A2EFB34C92BB t A - continued <br /> Provider's 3. PROJECT/PROGRAM INFORMATION <br /> Agency & Program Name: Inter-Faith Council for Social Service: Community House, Home Start, <br /> Community 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 /> required application and required supplemental sections (Parts) as specified below: <br /> X Human Services (Main Application Only) <br /> X CDBG Non-Construction—(Main Application AND Part A) <br /> CDBG Construction —(Main Application AND Part A AND Part B) <br /> E HOME CHDO Set-aside —(Main Application AND Part A) <br /> El HOME Other—(Main Application AND Part A AND Part B) <br /> Indicate the type of program for which you are requesting funding: <br /> D Public Housing <br /> Program Category Youth Adult Elderly <br /> (nis <br /> ot elabled derly) Neighborhoods/FResidents <br /> Education <br /> Health and Nutrition X X X X X <br /> Job Training <br /> Sports and Arts <br /> Activities <br /> Pre-School Activities <br /> After-School <br /> Activities <br /> Mentoring X X X X X <br /> Transportation <br /> Housing X X X X <br /> Other: Please <br /> specify <br /> Proaram/Proiect 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 <br /> Town/County priority? <br /> Food Programs <br /> The Food Pantry will meet the Town/County priority for health and nutrition to needy <br /> residents and safety-net services to disadvantaged residents by collecting or purchasing <br /> enough non-perishable food items to provide groceries as often as once per month to <br /> member households. Staff and volunteers of the Food Pantry will distribute monthly <br /> Main Application 1/25/2016 12:58:53 PM Page 7 of 33 <br />