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DocuSign Envelope ID:71415AD7-DCDD-4CF6-89A9-F93F72D8DC62 XHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> h) Describe the specific period over which the activities will be carried out and include an <br /> implementation timeline. <br /> The Samaritan Relief Ministry is open year-round, Monday-Friday, 9:00 a.m.-5:00 p.m.; <br /> households are able to receive food from the pantry a total of seven times during a 12- <br /> month period. As long as a request is not made twice in one week the time between food <br /> referrals does not matter. Financial assistance has a maximum amount (usually $100) <br /> available every six months. <br /> i) Why is funding this program a good investment for the community? How does funding this <br /> program add value to the community? (250 words OR LESS) <br /> In a healthy and caring community, people should not be hungry because they are unable to afford <br /> food. They should not have to have utilities shut off because they had to pay for car repairs so they <br /> could continue to get to work. People should not be evicted from their home because they lost <br /> their job and have not been able to find another one soon enough to pay rent.The Samaritan Relief <br /> Ministry cannot help all people with all of their financial needs, but we can partner with Orange <br /> County in helping the most financially fragile members of our community. <br /> Food and financial donations come to the Samaritan Relief Ministry by community members who <br /> care deeply about the quality of the community they live in. OCIM is the conduit by which the <br /> members of the community with plenty share with those without. <br /> j) Describe what would happen if requested funding is not awarded at all or if a reduced <br /> allocation is recommended. <br /> If the Samaritan Relief Ministry did not receive funding from Orange County, fresh milk and <br /> meat purchases would be greatly reduced and during the summer and fall when donations <br /> are low, additional non-perishable food could not be purchased; 85 households would not <br /> receive help with rent and utilities and the program manager would have to either have a <br /> cut in pay or funds would have to be diverted from other areas to pick up the balance. <br /> k) Include any other pertinent information. <br /> The program demographics show duplicated numbers. Each time a household is assisted, it <br /> draws from the program resources and each time is considered a separate "crisis"for the <br /> household. Some households may only need help once, while others need help the <br /> maximum number of times. <br /> For the demographic information, gender is only collected for adults. For informational <br /> purposes, children are divided 50% male and 50% female. <br /> Ethnicity and Geographic Location are collected by household, not individuals; the chart will <br /> reflect that difference. Likewise, we collect age group information a little bit differently; the <br /> chart will reflect the difference. <br /> We are able to track geographic location by street address. *Hillsborough and *Mebane <br /> addresses are not separated by `in'or 'out'of the city limits. <br /> PRCY;RLIAA INMPAAATInN 1111/9n17 R.41-74 AM P 1 Q <br />