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DocuSign Envelope ID: E865EBC7-DCBB-4CE6-A224-13D663E29E12 <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> 3. PROGRAM INFORMATION (Submit a separate Section 3 for each program) <br /> Program Name: Domestic Violence Crisis Services <br /> Program Primary Contact and Title: Ardith Burks, Associate Director, <br /> Telephone Number: 910-968-4810 E-Mail: programsd'iroctor(+c?pom s tr.oiry <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 /> Housing <br /> Affordable Healthcare <br /> �...........�.... �.. .. <br /> Neighborhoods/Residents <br /> Affordable Education X X X X X <br /> Family Resources X X X X X <br /> Jobs/Jobs Training .... <br /> Food <br /> Transportation X X X X . ...., X ... <br /> Other: Safety net for <br /> the vulnerable X <br /> 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 Program(s) <br /> to be funded. For each, briefly describe the coordinated/collaborative efforts. <br /> We continue to recognize that the best response to domestic violence is a community-wide, <br /> coordinated response. Our past and ongoing collaborative relationships with numerous <br /> organizations, to ensure necessary services for our clients, include local law enforcement <br /> agencies, the District Attorney's Office, the Orange County Department of Social Services <br /> (DSS), Inter-Faith Council (IFC), Legal Aid of North Carolina, UNC Hospital's Beacon Child <br /> and Family Program, the Orange County Rape Crisis Center, Freedom House, UNC Office <br /> of the Dean of Students, UNC School of Law's Domestic Violence Advocacy Project <br /> (DVAP), El Centro Hispano, El Futuro, NC Coalition Against Domestic Violence (NCCADV), <br /> and domestic violence agencies in neighboring counties. <br /> Some specific examples of ongoing collaborative efforts include: <br /> • Over the past 3.5 years, Compass Center has successfully reinstituted the Orange <br /> County Domestic Violence Task Force. This is based on the effective coordinated <br /> PROGRAM INFORMATION 1/30/2017 4:02:21 PM Page 1 3 of 4 8 <br />