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DocuSign Envelope ID: 6818677A -D518- 4750- B391- F6169FB2A4C4 <br />Exhibit A: Provider's Outside Agency Application <br />3. PROGRAM INFORMATION (submit a separate Section 3 for each <br />Program Name: Care ivin Collaborative <br />Program Primary Contact and Title: Jennifer Ashley, y Executive Director <br />Telephone Number: 919 -493 -5555 <br />ram <br />E -Mail: Jennifer .ashiey@ahelpinghandnc.oro <br />a) Indicate the type of Human Service Needs Priority, if program applicable: <br />M 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 />bj 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 />Affordable Housing Neighborhoods/Residents <br />Affordable Healthcare <br />Education X <br />Family Resources <br />Jobs /Jobs Training X <br />Food X X <br />Trans ortation X X X <br />Other: Please specify X <br />Access to healthcare X X <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 />Community collaborations and partnerships are instrumental to meeting the needs of our <br />community's seniors. A Helping Hand is actively engaged in collaborative efforts to make <br />Orange County the premier place to grow older and participates in a number of partnerships, <br />committees and initiatives, including: <br />• Orange County Department on Aging: In addition to having a companion care contract with <br />OCDOA, A Helping Hand collaborates on mutual clients. Additionally, AHH participates in <br />many initiatives and programs sponsored by OCDOA, including their Music in my Mind <br />program and The Sharp Caregiver Awards. <br />• Charles House: AHH places interns at Charles House each semester to provide them with <br />an understanding of dementia and the value of day center settings. <br />• Chatham - Orange Community Resource Connections for Aging and Disabilities Committee: <br />C/OCRC is attended by AHH staff for resources and c 11 b <br />PROGRAM INFORMATION o a oration. <br />1123/2018 11:40 :33 AM page <br />