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DocuSign Envelope ID: E7784BE7- 82AF- 4AF1- AA11- 944D2300E713D <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />3. PROGRAM INFORMATION (Submit a separate Section 3 for each program) <br />Program Name: KidSCope Community Outreach <br />Program Primary Contact and Title: Linda Foxworth, Director <br />Telephone Number:919- 644 -6590/ 919 - 656 -3213 (cell)E- Mail:l foxworthCc)_kidscope.chtop.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 />x <br />Education <br />x <br />Family Resources <br />x <br />Jobs /Jobs Training <br />Food <br />Transportation <br />Other: Please specify <br />c) Provide a bulleted list of other agencies, if any, with which your agency coordinates /collaborates <br />to accomplish or enhance the Projected Results in the Program(s) to be funded. For each, briefly <br />describe the coordinated /collaborative efforts. <br />KidSCope coordinates services with the similar programs and agencies in order to <br />ensure that children in need are identified and referred in a timely, efficient manner. <br />These agencies include: <br />• Children's Developmental Services Agency (CDSA) <br />• Orange County Departments of Social Services and Health <br />• Child Care Services Association <br />• Family Success Alliance, Making Connections (United Way Collaboratives) <br />• Orange County Partnership for Young Children <br />• Orange County Schools/ Chapel Hill /Carrboro City Schools <br />• Head Start /Early Head Start <br />• Cardinal Innovations <br />PROGRAM INFORMATION 1/22/2018 3:23:54 PM Page 16 of 27 <br />