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DocuSign Envelope ID: 8E8982E7 -EFF8- 4214- 979D- 9D572ED220CC <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />3. PROGRAM INFORMATION (Submit a separate Section 3 for each program) <br />Program Name: Organizational Development for Community Outreach and Sustainabil <br />Program Primary Contact and Title: Neil Stutzer, Chair <br />Telephone Number: 919 643 -2500 E -Mail: info (c)hillsboroughartscouncil.org <br />a) Indicate the type of Human Service Needs Priority, if program applicable: <br />❑ Priority Area #1: safety -net services for disadvantaged residents <br />® Priority Area #2: education, mentorship, and afterschool programming for youth <br />facing a variety of challenges <br />❑ Priority Area #3: programs aimed at improving health and nutrition of needy <br />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 />Public Housing <br />Neighborhoods /Residents <br />Affordable Housing <br />Affordable Healthcare <br />Education <br />X <br />X <br />X <br />X <br />Family Resources <br />Jobs /Jobs Training <br />X <br />X <br />X <br />X <br />Food <br />Transportation <br />Other: <br />1. Quality of life and lifelong <br />learning <br />2. Economic Development <br />X <br />X <br />X <br />X <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 <br />the Program(s) to be funded. For each, briefly describe the <br />coordinated /collaborative efforts. <br />All our events are coordinated with external organizations and individuals. The <br />following lists the primary collaborative efforts. <br />• Burwell School: Last Fridays, shared events, co- marketing and fundraising <br />• St. Matthews Episcopal Church: Shared events, co- marketing and fundraising <br />• Orange County Public Library: Handmade Parade and Lantern Walk <br />Workshops, shared events and co- marketing. <br />• Orange County Historical Museum: Last Fridays, Free Spirit Freedom, ArtCycle <br />donated materials for Fairview's Art in the Park, additional shared events and co- <br />marketing <br />PROGRAM INFORMATION 2/11/2018 4:28:29 PM P a g e 13 of 2 6 <br />