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DocuSign Envelope ID: D13694BA-66F1-4441-9114-5334F2B6AC3D XHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> 3. PROGRAM INFORMATION (Submit a separate Section 3 for each program) <br /> Program Name: Sexuality Health Education and Outreach <br /> Program Primary Contact and Title: Molly Laing <br /> Telephone Number: 919 286-2872 Ext. 5417 E-Mail: molly.laina ppsat.orq <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 /> ❑ 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 <br /> Affordable Healthcare X X <br /> Education X X <br /> Family Resources <br /> Jobs/Jobs Training <br /> Food <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 /> Program Description (3 pages OR LESS) <br /> Please provide the following info ation about the proposed program: <br /> d) Summarize the program services proposed and how the program will address a <br /> Town/County priority/goal? <br /> In the coming year, our education department will provide Orange County teens <br /> and young adults with medically accurate, intensive, and balanced sexuality <br /> education programs that promote positive sexuality, healthy behavior, and <br /> responsible choices —with the goal of reducing the rates of unintended pregnancy <br /> and sexually transmitted infection. In doing so, we are addressing the Town of <br /> Chapel Hill's budgeting priority to fund education, mentorship, and afterschool <br /> PROGRAM INFORMATION 1/27/2017 3:10:56 PM <br />