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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 For the Summer <br /> Program Primary Contact and Title: Kristin Lavergne, Co-Director <br /> Telephone Number: 919-929-6380 x41 E-Mail: klavergne @ifcmailbox.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 /> X Priority Area #2: education, mentorship, and afterschool programming for <br /> youth facing a variety of challenges <br /> X Priority Area #3: programs aimed at improving health and nutrition of needy <br /> 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 <br /> Affordable Healthcare <br /> Education X <br /> Family Resources <br /> Jobs/Jobs Training <br /> Food 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 /> • Town of Chapel Hill • Food For All (UNC) <br /> • Town of Carrboro • The Friday Center <br /> • Orange County • Book Harvest <br /> • NC Department of Public • YMCA of the Triangle <br /> Instruction • Food Bank of Central & Eastern <br /> • No Kid Hungry NC North Carolina <br /> • PORCH <br /> • TABLE <br /> Program Description (3 pages OR LESS) <br /> Please provide the following information about the proposed program: <br /> PROGRAM INFORMATION 2/9/2017 10:30:46 AM Page I f 1 0 <br />