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DocuSign Envelope ID:C8F16CD1-FF19-486F-8006-57316D1FCD54 <br /> EXHIBIT A - PROVIDERS OUTSIDE AGENCY APPLICATION <br /> SUBMITTAL INFORMATION <br /> Welcome to the Outside Agency Common Funding application for local/general funds, <br /> which will be distributed through this competitive application process. All entities or <br /> organizations requesting funds must complete and submit this application prior to <br /> the deadline to be considered for FY 2017-2018 funding. <br /> The Application Submittal Deadline is: Tuesday, January 31, 2017 5:00 PM <br /> In the event of inclement weather, check the website for each Town/County you are <br /> applying to, for further instructions. <br /> Please note that late, handwritten, or incomplete applications will not be accepted. <br /> (Applications not signed by the Chair or President of the Board of Directors, are considered <br /> incomplete.) <br /> An application orientation workshop will tentatively be held on Tuesday, November 29, <br /> 2016 at 9 AM to Noon to review the application and submittal requirements. <br /> SUBMITTAL REQUIREMENTS FOR EACH MUNICIPALITY <br /> Human Services— Town Of Carrboro <br /> Applications are accepted once a year and reviewed by the Town's Human Services <br /> Advisory Commission, which makes a recommendation for funding to the Board of <br /> Aldermen for final approval. <br /> For more information about the Town of Carrboro Human Services program, see here. <br /> Questions and submittals should be directed to: <br /> Annette Stone, <br /> 301 W. Main Street <br /> Carrboro, NC 27510 <br /> 919-918-7319 <br /> astone @townofcarrboro.org <br /> Submission: <br /> ➢ We strongly encourage applications to be single-spaced, with 12-point arial <br /> font and normal margins. <br /> ➢ Application: One (1) original plus Two (2) paper copies of the application <br /> must be hand delivered or mailed to Annette Stone, 301 West Main <br /> Street, Carrboro, NC 27510; AND <br /> ➢ One Application and Attachments files must be submitted by email. Any .pdf <br /> files must be accompanied by the original file format of .doc, .xls, etc. <br /> DO NOT SUBMIT THIS PAGE 2/8/2017 9:36:40 AM „::: i ::I 0 20'1 <br />