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DocuSign Envelope ID: DDOCF662 -8EDD- 41357- ACF6- 9C98BO78AA95 XHIBIT A <br />PROVIDER'S OUTSIDE AGENCY APPLICATION <br />3. PROGRAM INFORMATION(Submit a separate Section 3 for each program) <br />Program Name: F_a__mily- Reading Partners - Orange County Literacy Council <br />Program Primary Contact and Title: Nancy Zeman /Program Co- Founder and Co- Manager <br />Telephone Number: 919 -225 -0075 <br />E -Mail: nwzeman @cs.com <br />o) 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 youth facing <br />a variety of challenges <br />❑Priority Area #3: programs aimed at improving health and nutrition of needy residents <br />p) Indicate the type of program for which you are requesting funding <br />(Check all that applyto this program) <br />Program Category <br />Youth <br />Adult <br />Elderly Disabled <br />Public Housing <br />Neighborhoods /Residents <br />_ <br />Affordable Housing <br />Affordable Healthcare <br />Education <br />X <br />X <br />X <br />Family Resources <br />X <br />X <br />X <br />Jobs /Jobs Training <br />Food <br />Transportation <br />Other: Please specify <br />q) 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 />• Chapel Hill - Carrboro City Schools -- identify students /families who could <br />benefit from books in the home and family reading time; schedule programs <br />at the schools (family nights; adolescent parenting program at the high <br />schools during lunch) <br />• Family Success Alliance -- identify students /families who could benefit from <br />books in the home and family reading time; schedule home visits and school <br />programs <br />• UNC Hospitals Horizons Program— conduct on -site visits to provide books <br />and talk with recovering mothers about the importance for reading with their <br />children <br />• Book Harvest, a non - profit located in Durham, NC, will donate some gently <br />used books <br />PROGRAM INFORMATION 1/31/2017 10:54:56 AM Page 17 of 26 <br />