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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: Food Programs: Food Pantry, Community Kitchen <br /> Program Primary Contact and Title: Kristin Lavergne, Community Services Director <br /> Telephone Number: 919-929-6380, x41 <br /> E-Mail: klavergne@ifcmailbox.org <br /> n) 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 /> o) 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 <br /> Affordable Healthcare <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 /> p) 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 /> • Active participation on Orange County's Family Success Alliance leadership council. The <br /> Alliance seeks to improve the lives and opportunities for long term success for children and <br /> families struggling to make ends meet. This is done through developing a "pipeline" of <br /> coordinated community resources that will ensure the successful passage of children from <br /> cradle to career or college; <br /> • Collaboration with Farmer Foodshare, TABLE, St. Joseph's Food Ministry, Inter-Faith Food <br /> Shuttle, Food Bank of Central and Eastern North Carolina, local grocery stores, restaurants, <br /> congregations, UNC at CH dining services and other food programs to gather and distribute <br /> the needed food resources; <br /> • Collaboration with liaisons representing some 35 congregations who meet regularly for IFC <br /> updates, trainings, sharing of information, organizing food collections and mobilizing <br /> volunteers and financial resources; <br /> PROGRAM INFORMATION 1/31/2017 11:43:55 AM Pago 20 of 35 <br />