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MAIN APPLICATION <br />Facility in the Meadowlands in Hillsborough, which provides 24 -hour care for those hospice <br />patients in psychosocial crisis, unmanageable pain and /or need for respite care. In 1995, with <br />a gift from G1axoWellcome, the Beard House, which is on the same 11 -acre site, was <br />transformed into the Unicorn Bereavement Center. Staffed with two full -time bereavement <br />counselors and one part-time bereavement counselor, the UBC serves both hospice families <br />and those in the community who have lost a loved one. Each year, more than nine multi - <br />week support groups and workshops arc held at the UBC. We provide medical, psychosocial, <br />spiritual and bereavement care for terminally ill patients and families, regardless of ability to <br />pay. Bereavement services are provided to anyone in the community, regardless of <br />connection to hospice, through individual, family, and group sessions, as well as in the <br />Chapel Hill - Carrboro and Orange County School Systems. <br />3. PROJECT /PROGRAM INFORMATION <br />Agency & Program Name: Duke HomeCare & Hospice <br />As you complete your application, complete only those sections that pertain to the type of <br />application you are submitting. The application is divided into several sections and not all sections <br />apply to every project. Every applicant MUST complete the main application. <br />a) Check the type of funding request for this application package submittal and complete the <br />required application and required supplemental sections (Parts) as specified below: <br />X Human Services (Main Application Only) <br />❑ CDBG Non - Construction — (Main Application AND Part A) <br />❑ CDBG Construction — (Main Application AND Part A AND Part B) <br />❑ HOME CHDO Set -aside — (Main Application AND Part A) <br />❑ HOME Other — (Main Application AND Part A AND Part B) <br />Indicate the type of program for which you are requesting funding: <br />Program Category <br />Youth <br />Adult <br />Elderly <br />Disabled <br />(not elderly) <br />Public Housing <br />Neighborhoods /Residents <br />Education <br />X <br />X <br />X <br />Health and Nutrition <br />Job Training <br />X <br />X <br />X <br />Sports and Arts <br />Activities <br />Pre - School Activities <br />After - School Activities <br />Mentoring <br />X <br />X <br />X <br />Transportation <br />Housing <br />Other: Please specify <br />grief <br />counseling <br />X <br />X <br />X <br />Main Application 1/25/2016 11:36:35 AM Page 5 of 16 <br />