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DocuSign Envelope ID: E865EBC7-DCBB-4CE6-A224-13D663E29E12 <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> community response model of engagement and problem solving between agencies <br /> that interact with victims of domestic violence. This includes law enforcement, Legal <br /> Aid, victim advocates, DSS, crisis unit personnel, batterer's intervention program <br /> staff, magistrates, school personnel, etc. The task force meets monthly. This year <br /> we are participating in a grant with NCCADV to add a task force sub-committee that <br /> works specifically on the needs of Latino/a clients. <br /> • Cross-training with Orange County Rape Crisis Center, UNC's Beacon Program, <br /> CH-TOP Early Head Start/Head Start, Freedom House, UNC Horizons, and DSS. <br /> • We are working with UNC Hospital's Beacon Program, as part of a new NCCADV <br /> grant project, to improve domestic violence training for medical professionals and <br /> create more seamless client hand-offs between hospital staff and domestic violence <br /> service providers. <br /> • We partner with Orange County Department of Social Services in several ways <br /> including providing training on domestic violence issues for their staff and clients in <br /> the Work First program and other departments on a regular basis. We cross-refer on <br /> a daily basis as a portion of their clients need domestic violence services and <br /> education and our clients need emergency assistance for food and shelter or need <br /> child protective services involvement. <br /> • Collaboration and cross-referral with seven law enforcement agencies in Orange <br /> County and interaction daily or weekly with crisis unit in the Orange County Sheriff's <br /> Office and the Chapel Hill Police Department. These agencies also assist with <br /> volunteer hotline and advocate training. Several times per year we are part of the <br /> training of Crisis Intervention Team training of select law enforcement officers. <br /> • The Orange County District Attorney's office collaborates with our court advocate <br /> and helps with hotline and advocate training. <br /> • Work with Legal Aid of North Carolina to help clients access free legal services <br /> especially as it relates to protective order representation. We also have a <br /> partnership with NCCADV to offer free legal services to Orange County residents as <br /> it relates to protective order representation when Legal Aid services are full, and <br /> child custody and divorce assistance. <br /> • Continued partnerships with UNC School of Social Work as a field placement site for <br /> MSW students, APPLES undergraduate service learning program, and UNC LGBTQ <br /> Center. In addition, we are collaborating with researchers from the School of Social <br /> Work on a county domestic violence needs assessment project with a specific focus <br /> on shelter and housing needs. <br /> • Partner with local businesses to provide pro bono services for victims such as free <br /> shelter at local hotels, pet boarding and medical supplies. <br /> Program Description (3 pages OR LESS) <br /> Please provide the following information about the proposed program: <br /> d) Summarize the program services proposed and how the program will address a <br /> Town/County priority/goal? <br /> The Domestic Violence Crisis Services Program provides essential crisis intervention and <br /> support services to victims of domestic violence that are unavailable through any other <br /> venue in Orange County. Specifically, the community needs we will continue to address <br /> are: <br /> PROGRAM INFORMATION 1/30/2017 4:02:21 PM IP 1 e 1 4 (» @1 4 8 <br />