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DocuSign Envelope ID:64D61581-25C0-4408-84C2-991109E2DF4C XHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> 3. PROGRAM INFORMATION (Submit a separate Section 3 for each program) <br /> Program Name: Residential Services Programs: Community House, HomeStart <br /> Program Primary Contact and Title: Stephani Kilpatrick, Residential Services Director <br /> Telephone Number: Stephani Kilpatrick 919.967.1086 ext. 12 <br /> E-Mail: Stephani Kilpatrick: skilpatrick ifcmailbox.orq <br /> a) Indicate the type of Human Service Needs Priority, if program applicable: <br /> X 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 /> Program Category Youth Adult Elderly Disabled Public Housing <br /> Neighborhoods/Residents <br /> Affordable Housing X X X X <br /> Affordable Healthcare X X X X <br /> Education <br /> Family Resources X X X X <br /> Jobs/Jobs Training <br /> Food X X X X <br /> Transportation <br /> Other: Please specify <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 /> • Participation on the Orange County Partnership to End Homelessness Leadership Team <br /> • Participation on the Orange County Partnership to End Homelessness 100,000 Homes <br /> Taskforce, which includes participation in and planning for Orange County Project Connect <br /> and the annual Point-In-Time Counts. <br /> • The IFC recruits and maintains cooking groups from congregations, neighborhoods, the <br /> university and businesses to prepare and serve meals at HomeStart and Community <br /> House; <br /> • Partnership with Orange County that provides a no-cost 25-year lease of three acres of land <br /> where the IFC's HomeStart facility sits. We also collaborate with the County on the <br /> Emergency Solutions Grant and Rapid Rehousing; <br /> PROGRAM INFORMATION 1/31/2017 11:43:55 AM Pago 12 of 35 <br />