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DocuSign Envelope ID:8A1AB1 BF-ACDB-42A1-A3DE-9E9549E569B4 <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> 3. PROGRAM INFORMATION (Submit a separate Section 3 for each program) <br /> Program Name: Donation Station Program <br /> Program Primary Contact and Title: Katy Phillips, <br /> Telephone Number: 19.381.06 '1 E-Mail: <br /> katvCc�farmerfoodshare.orq <br /> a) Indicate the type of Human Service Needs Priority, if program applicable: <br /> ❑ Priority Area #1: safety-net services for disadvantaged residents <br /> ❑ Priority Area #2: education, mentorship, and afterschool programming for <br /> youth facing a variety of challenges <br /> Priority Area #3: programs aimed at improving health and nutrition of needy <br /> residents <br /> b) Indicate the type of program for which you are requesting funding <br /> (Check all that apt to this _._.___.._..._ m_.._._.._.__......�._. <br /> Public Housing <br /> Program Category <br /> )(out Adult Elder! Disabled Neighborhoods/Resident <br /> Affordable Housing <br /> Affordable 6���.�._.-....m... ........ <br /> Healthcare <br /> Education <br /> Family Resources <br /> Jobs/Jobs Training <br /> Food X X x X X <br /> Transportation <br /> Other: Please <br /> specify <br /> c) Provide a bulleted list of other agencies, if any, with which your agency <br /> coordinates/collaborates to accomplish or enhance the Projected Results in the <br /> Program(s) to be funded. For each, briefly describe the coordinated/collaborative <br /> efforts. <br /> Donation Stations operate and collect fresh, healthy food each week at each of the <br /> following Orange County Farmers Markets: <br /> Carrboro, <br /> Page 9 of 20 <br />