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DocuSign Envelope ID: FOFFD659- 4159- 4D4C- 82FD- FF8E51A5A7E4 <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />3. PROGRAM INFORMATION (Submit a separate Section 3 for each program) <br />Program Name: Community_ Education and Civic Engagement <br />Program Primary Contact and Title: Ardith Burkes, Associate Director <br />Telephone Number: (919 9) 68 -4610 E -Mail: pro _qramsdirectorCa�compassctr.org <br />aj Indicate the type of Human Service Needs Priority, if program applicable: <br />❑ Priority Area #7: 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 <br />Youth <br />Adult <br />Elderly <br />Disabled <br />F'ublic'Housirig <br />Neighborhoods /Residents <br />Affordable Housing <br />Affordable Healthcare <br />Education <br />X <br />X <br />X <br />X <br />X <br />Family Resources <br />X <br />X <br />X <br />X <br />X <br />Jobs /,Jobs Training <br />Food <br />Trans ortation <br />Other: Civic <br />X <br />Engagement, <br />Volunteerism, and <br />Safety net for the <br />Vulnerable <br />X <br />X <br />X <br />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 />• Chapel Hill- Carrboro City Schools: We deliver youth interpersonal violence <br />prevention education (Start Strong) in 6th and 8t" grade health classes. <br />• Orange County Rape Crisis Center: Collaborative partner in providing Start Strong <br />curricula for 6th through 9th rade. We work with youth in 6th and 8th grade and <br />OCRCC works with them in 7t and 9th. We created a fluid curricula and evaluate the <br />program together. <br />• University of North Carolina's Department of Women and Gender Studies: <br />collaborate on Women's History Month and Domestic Violence Awareness Month <br />events. <br />PROGRAM INFORMATION 1/22/2018 5:50:18 PM Page 34 of 47 <br />