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DocuSign Envelope ID:9B26E979-2C09-4BE7-801C-3DDB484D92EE XHIBIT A <br /> PROVIDER"S OUTSIDE AGENCY APPLICATION <br /> 3. PROGRAM INFORMATION (Submit a separate Section 3 for each program) <br /> Program Name: OCRA (Orange County Rural Alliance) <br /> Program Primary Contact and Title: Norma B. White, President <br /> Telephone Number: 919-732-8527 E-Mail: n.b.white @embargmail.com <br /> a) Indicate the type of Human Service Needs Priority, if program applicable: <br /> x❑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 /> X❑ 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 /> 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 X X <br /> Transportation <br /> Other: Please specify <br /> c) Provide a bulleted list of other agencies, if any, with which your agency coordinates/collaborates to <br /> accomplish or enhance the Projected Results in the Program(s) to be funded. For each, briefly <br /> describe the coordinated/collaborative efforts. <br /> • SALT (a program of the Orange County Sheriff's office) volunteers coordinate and <br /> collaborate with OCRA to identify rural seniors in need and assist with meal delivery <br /> • Project Engage (PE)(a program of Orange County Dept of Aging) volunteers coordinate <br /> and collaborate with OCRA to visit seniors and to help deliver hot meals. <br /> • Emergency Medical Services and Fire Departments collaborate to identify <br /> vulnerable seniors in the community <br /> • Orange County Department of Aging provides resources and materials about community <br /> and county services, and programs that are pertinent to seniors <br /> • Department of Social Services, identifies rural seniors needing assistance <br /> • Local churches and Civic Groups (such as St Matthews, Little River Presbyterian, the <br /> Efland Faith Collaborative and Schley Grange) help identify and serve rural seniors and to <br /> provide volunteers. They have also provided in-kind donations of meals. <br /> • OCIM Food Pantry provides emergency food to vulnerable homebound seniors <br /> PROGRAM INFORMATION 2/8/2017 4:36:09 PM Page • "' ' <br />