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DocuSign Envelope ID:42FC26E4-086D-47F4-A291-0A9A8706CA60 <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> 2. AGENCY INFORMATION (Be Very Brief and Concise) <br /> Please provide the following information about your agency (2 pages OR LESS): <br /> a) Years in Operation, Date of Incorporation (Month/Year): 1/1998 <br /> b) Agency's Purpose/Mission (no more than a few sentences): <br /> El Centro Hispano works to strengthen the community, build bridges, and serve as <br /> advocates for equity and inclusion of Hispanics /Latinos in the Triangle area of North <br /> Carolina. We achieve these purposes by making advancements in Education, <br /> Economic Development, and Health & Well-being. <br /> c) Types of Services the Agency Provides (bullet format): <br /> El Centro Hispano has three main focus areas and delivers the following <br /> programs and services under each: <br /> Education <br /> - Child Enrichment (Preschool), K-12 tutoring, College preparation, Work Skill, Life <br /> skills, Leadership Development <br /> - Adult Literacy, Adult elementary & secondary education (Plaza Comunitaria), <br /> Language Classes (ESOL, Spanish as Second Language, etc., computer <br /> classes, citizenship, Reading as a Family, Circle of Parents <br /> Economic Development (under Center for Employment and Leadership) <br /> - Workforce Training and Development <br /> - Income and Job Security, Self-Employment <br /> - Worker Protection & Safety <br /> - Financial Literacy & Asset Building <br /> Health and Well-being <br /> - Community Support Services Walk-in Office (Information, Referral, & <br /> Connections to area resources, Translation/Interpretation, Legal Clinic, Domestic <br /> Violence, Community Service, Faith ID) <br /> - Health Promotion & Disease Prevention (Ventanilla de Salud- Health Booth, HIV <br /> Prevention & Outreach) <br /> - Access to Healthcare (Navigation services, LATCH, Annual Health Fair) <br /> d) Agency's History with Providing These Services: <br /> The organization has been providing education, outreach, direct support, and human <br /> services referrals since its inception and has partnered with community and <br /> government organizations to provide services that benefit the community in general, <br /> particularly to address community needs. About 18 months ago it took on the Day <br /> Laborers & Domestic Worker's Project and started the Center for Employment and <br /> Leadership to better focus economic development efforts. <br /> Agency Information 1/31/2017 3:16:25 PM Page 5 of 32 <br />