Orange County NC Website
Browse       Search
DocuSign Envelope ID:ODO4B5DD-363F-41 FF-BD24-FAD291133B51 <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> 3. PROGRAM INFORMATION (Submit a separate Section 3 for each program) <br /> Program Name: Orange County Living Wage Certification Program <br /> Program Primary Contact and Title: Susan Romaine, Chair of Steering Committee and <br /> Executive Director <br /> Telephone Number: 919-619-3408 E-Mail: susan(corangecountylivingwage.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 residents <br /> b) Indicate the type of program for which you are requesting funding <br /> (Check all that apply to this program) <br /> Program Category Youth Adult Elderly Disabled Public Housing <br /> Neighborhoods/Residents <br /> Affordable Housing <br /> Affordable Healthcare <br /> Education <br /> Family Resources <br /> Jobs/Jobs Training <br /> Food <br /> Transportation <br /> Other: Please specify X <br /> Living Wage X X X X <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 /> • The 109 businesses and organizations that were certified through January 2017: <br /> We publicize these businesses that pay a living wage and in turn ask them to display <br /> their certification decal and comment on their certification via social media and other <br /> avenues. <br /> DO NOT SUBMIT THIS PAGE 12/15/2016 9:57:17 AMIII' : 18 •t 32 <br />