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DocuSign Envelope ID: El 573D55-1 DC0 -4F4C- 9784- 749E3E95640B <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />Projected change of population 65 +, by age group (2014 -2034) <br />* Of the population 65 +, the <br />Ages 65 -74 75 -84 85+ age group 75 -84 will grow more <br />County 67% 190% 167% rapidly in the next decades. <br />Beyond 2030, the growth will <br />shift into the ages 85 +, as the <br />State 48% 103% 92% <br />baby boomers move into this <br />age group. <br />However, 44 counties in the <br />state are already projected to <br />*As % of age group <br />have more growth in the 85+ <br />population (2014 - 2034). <br />Source: NC Office of State Budget and Management, Oct 2015 <br />As seniors age, the numbers living in poverty increases and CHCMOW works to meet the <br />increasing need of our seniors and homebound regardless of their ability to pay. <br />f) Who is your target population of individuals to benefit from this program and how will they <br />be identified and connected with the program? <br />Our target population is any elderly, disabled or convalescing person who cannot prepare <br />their own meals who lives in Chapel Hill, Carrboro or Southern Orange County. We accept <br />referrals from all sources — individuals, family members, neighbors, health professionals, <br />social service agencies. We encourage identification and connection through our website <br />and by distributing brochures in prominent spots within the community — the public library, <br />UNC Hospital system, etc. We also connect with discharge nurses and other non - profits <br />and practitioners serving seniors so they can easily refer CHCMOW to potentially eligible <br />clients. We are listed in a national Meals on Wheels search engine as well as being in the <br />local phone directory. We periodically have PSAs on WCHL and advertise in local media. <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 />Executive Director has a BA in Political Science from Tulane University and an MA in <br />International Service from American University of Washington DC. Since moving to NC <br />in 1995 she has been involved in non - profit work as both a professional and volunteer <br />with experience in strategic planning, development and community engagement. She is <br />currently enrolled in the certification in program leadership from the Meals on Wheels <br />America organization. <br />Operations Manager attended UNC- Greensboro and has a wide range of experience <br />with local agencies, including IFC, Take and Eat Food Pantry, Habitat for Humanity and <br />Cornucopia House, and she also volunteers as a Guardian ad Litem. <br />Volunteer Coordinator has a BA in Anthropology and Studio Arts from UNC -CH and <br />has experience working with elderly populations through Carol Woods Retirement <br />Community. <br />h) Describe the specific period over which the activities will be carried out and include an <br />implementation timeline. <br />PROGRAM INFORMATION 1/22/2018 9:22:00 AM Page 18 of 26 <br />