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DocuSign Envelope ID:6D821DA0-CO6F-4D38-BB4F-DB28CB54AD8E XHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> 3. PROGRAM INFORMATION (Submit a separate Section 3 for each program) <br /> Program Name: Transitions to Employment <br /> Program Primary Contact and Title: Margaret Samuels <br /> Telephone Number:919-732-8124 E-Mail: samuelsm @oeenterprises.org <br /> a) Indicate the type of Human Service Needs Priority, if program applicable: <br /> Z 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 <br /> 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 <br /> Healthcare <br /> Education <br /> Family Resources <br /> Jobs/Jobs Training X X X X <br /> Food <br /> Transportation <br /> Other: Please <br /> specify <br /> PROGRAM INFORMATION 1/31/2017 8:24:51 AM ll ' ago 11 of 20 <br />