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DocuSign Envelope ID: E8DFACF7 -45BE- 435E- 9B5A- BB177E968F07 <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />See attached for (f -m) <br />f) Who is your target population of individuals to benefit from this program and how will they be <br />identified and connected with the program? <br />g) Describe the credentials of the program manager and other key staff. (Ex. Identify Program <br />Manager and credentials, describe training provided to volunteers, etc.) <br />h) Describe the specific period over which the activities will be carried out and include an <br />implementation timeline. <br />i) Why is funding this program a good investment for the community? How does funding this <br />program add value to the community? (250 words OR LESS) <br />j) Describe what would happen if requested funding is not awarded at all or if a reduced <br />allocation is recommended. <br />k) What percentage of your target population is low- moderate income? <br />1) What efforts do you make to seek feedback about your program from your target population <br />(e.g. survey, evaluations, etc. ?) <br />m) Include any other pertinent information. <br />DO NOT SUBMIT THIS PAGE 1/19/2018 3:36 :29 PM Page 8 of 11 <br />