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DocuSign Envelope ID: 2AC82140 -8F6C- 4125 - 8743- OB8594E61466 <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />• Phillips Middle School: Provide information /support to feed attending kids. <br />• Smith Middle School: Provide information /support to feed attending kids. <br />• Chapel Hill - Carrboro City Schools Pre -K /Head Start Program: Provide <br />information /support to feed attending kids. <br />• Dobbins Hill Family Resource Center: Provide information /support to feed attending <br />kids. <br />• Town of Chapel Hill (Public Housing Facilities): Provide information /support to feed <br />attending kids. <br />• El Centro Hispano: Provide information /support to feed attending kids. <br />• Hargraves Community Center: Provide information /support to feed attending kids. <br />• Communiversity: Provide information /support to feed attending kids. <br />• Rogers- Eubanks Neighborhood Association: Provide information /support to feed <br />attending kids. <br />• Street Scene Teen Center: Provide information /support to feed attending kids. <br />• Maple View Farms: Donate fresh milk every week to kids through WMBP. Also <br />partnered to create a field trip opportunity for our kids. <br />• Farmer Foodshare: Partner to provide purchased and donated fresh food to kids via <br />WMBP. <br />• Weaver Street Market: Help us raise funds /food for programs. Provide services for <br />TABLE to purchase food for WMBP and Summer TABLE. <br />• Food for the Summer: Help us to efficiently reach and serve additional children in the <br />summer. <br />Program Description (3 pages OR LESS) <br />Please provide the following information about the proposed program: See attachment <br />d) Summarize the program services proposed and how the program will address a <br />Town /County priority /goal? <br />e) Describe the community need or problem to be addressed in relation to the Chapel Hill <br />Human Services Needs Assessment, Orange County BOCC Goals and Priorities, Town of <br />Chapel Hill Council Goals, Carrboro Board Priorities, or other community priorities (i.e. <br />Council /Board Goals). Reference local data (using the provided links, i.e. Chapel Hill Human <br />Services Needs Assessment) to support the need for this program. <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 />PROGRAM INFORMATION 1/23/2018 3:44:19 PM P a g e 13 of 2 1 <br />