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DocuSign Envelope ID:42FC26E4-086D-47F4-A291-0A9A8706CA60 <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> 3. PROGRAM INFORMATION (Submit a separate Section 3 for each program) <br /> • <br /> Program Name: ECH-Center for Employment and Leadership <br /> Program Primary Contact and Title: Pilar Rocha Goldberg <br /> Telephone Number: (919) 687-4635 Ext. 43 E-Mail: procha@elcentronc.orq <br /> a) Indicate the type of Human Service Needs Priority, if program applicable: <br /> E 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 residents <br /> b) Indicate the type of program for which you are requesting funding <br /> (Check all that apply to this program) <br /> Public Housing <br /> Program Category Youth Adult Elderly Disabled . <br /> Neighborhoods/Residents <br /> Affordable Housin. <br /> Affordable Healthcare <br /> Education <br /> Family Resources X x <br /> Jobs/Jobs Trainin. x x x <br /> Food <br /> Transportation <br /> Other: Please specify: I x <br /> job placement, worker <br /> rights & safety, <br /> communication, & <br /> outreach <br /> c) Provide a bulleted list of other agencies, if any, with which your agency <br /> coordinates/collaborates to accomplish or enhance the Projected Results in the Program(s) <br /> to be funded. For each, briefly describe the coordinated/collaborative efforts. <br /> • Day Laborer Task Force: ECH is very active in the Carrboro Day Laborer Task <br /> force, which includes representatives from the Carrboro Mayor's office, the <br /> Chapel Hill-Carrboro Chamber of Commerce, Justice United, Carrboro Day <br /> Laborers, the Human Rights Center and El Centro Hispano. <br /> • Chapel Hill-Carrboro Chamber of Commerce: ECH is a member of the Chapel <br /> Hill-Carrboro Chamber of Commerce. The Chamber participates in the Carrboro <br /> Day Laborer Task Force. <br /> • Human Rights Center: ECH partners with the Human Rights Center to develop <br /> initiatives for Carrboro day laborers. <br /> PROGRAM INFORMATION 1/31/2017 3:16:25 PM Page 17 of 32 <br />