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DocuSign Envelope ID: 1640431D- 872F- 4BC9- ACA1- 2226D9788920 <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />3. PROGRAM INFORMATION (Submit a separate Section 3 for each program) <br />Program Name: Transplanting Traditions Community Farm <br />Program Primary Contact and Title: Kelly Owensby, Program Director <br />Telephone Number: 919 - 967 -9091 <br />E -Mail: kowensbv(a7o rang esmartstart.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 <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 />Public Housing <br />Neighborhoods /Residents <br />Affordable Housing <br />Affordable Healthcare <br />Education <br />X <br />X <br />Family Resources <br />Jobs /Jobs Training <br />X <br />X <br />X <br />Food <br />X <br />X <br />X <br />Transportation <br />Other: Please specify <br />Health and Nutrition <br />X <br />X <br />X <br />c) Provide a bulleted list of other agencies, if any, with which your agency <br />coo rdinateslcollaborates to accomplish or enhance the Projected Results in the Program(s) <br />to be funded. For each, briefly describe the coordinated /collaborative efforts. <br />• Triangle Land Conservancy (TLC). Provides land, infrastructure, and support in <br />expansion. A unique collaboration, the only of its kind between a land conservancy <br />agency and a non - profit educational farm in the state. <br />• KCNC (Karen Communities of North Carolina): Helping to connect with local <br />refugee families. <br />• PORCH (People Offering Relief for Chapel Hill and Carrboro Homes): TTC Farm <br />both donates and sells produce from the farm to PORCH. PORCH provides service <br />opportunities to teen program <br />• Art Therapy Institute: Event collaboration and client services overlap <br />Leadership Chapel Hill- Carrboro /Chapel Hill Chamber of Commerce - <br />fundraising support and advocacy <br />• Building Integrated Communities - Chapel Hill Town Council & UNC- stakeholder <br />• Refugee Health Coalition- Orange County Health Department- stakeholder <br />PROGRAM INFORMATION 1/22/2018 6:18:22 PM Page 11 of 22 <br />