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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 /> Program Name: ECH-Education Services <br /> Program Primary Contact and Title: Pilar Rocha Goldberg <br /> Telephone Number: (919) 687-4635 Ext. 43 E-Mail: prochaelcentronc.org <br /> a) Indicate the type of Human Service Needs Priority, if program applicable: <br /> 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 /> Z 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 /> Pliblic Housing <br /> Program Category Youth Adult Elderly Disabled . . <br /> Neighborhoods/Residents <br /> Affordable Housing <br /> Affordable Healthcare <br /> Education x x <br /> Family Resources x x <br /> Jobs/Jobs Training <br /> Food <br /> Transportation <br /> Other: Please specify: <br /> ESL, elementary & <br /> secondary education, <br /> computer training, etc, <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 /> • Durham Tech: ECH provides space to host ESL classes for low and <br /> intermediate levels. They use an appropriate curriculum for our community. <br /> • Orange Literacy Council: ECH lends space for ESL classes to parents and <br /> have children participate in preschool classroom. Orange Literacy and ECH <br /> partner to improve the development of our children and increase the English <br /> language skills for parents. <br /> • Sophomore & Junior High School Students: ECH collaborates with area <br /> high school students to help tutor elementary and middle school kids. Their <br /> service helps them complete the community service hours requited by their <br /> school. <br /> PROGRAM INFORMATION 1/31/2017 3:16:25 PM Page 25 of 32 <br />