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DocuSign Envelope ID:C8F16CD1-FF19-486F-8006-57316D1FCD54 <br /> EXHIBIT A - PROVIDERS OUTSIDE AGENCY APPLICATION <br /> 3. PROGRAM INFORMATION (Submit a separate Section 3 for each program) <br /> Program Name: Overall HAC Support <br /> Program Primary Contact and Title: Neil Stutzer, Chair <br /> Telephone Number: 919 643-2500 E-Mail: nstutzer @hillsboroughartscouncil.org <br /> a) Indicate the type of Human Service Needs Priority, if program applicable: <br /> ❑ Priority Area #1: safety-net services for disadvantaged residents <br /> X Priority Area#2: education, mentorship, and afterschool programming for youth <br /> 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 X X X X <br /> Family Resources <br /> Jobs/Jobs Training X X X X <br /> Food <br /> Transportation <br /> Other: Please specify <br /> Afterschool activities, <br /> Mentoring, Art <br /> activities, Preschool <br /> activities. <br /> X X X X <br /> DO NOT SUBMIT THIS PAGE 2/8/2017 9:36:40 AM Page '13 a0 24 <br />