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DocuSign Envelope ID: 74839431 - 9216- 429F- BFA4- 2AC6473BD9D3 <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />3. PROGRAM INFORMATION (Submit a separate Section 3 for each program) <br />Program Name: Anger Mana ement <br />Program Primary Contact and Title: Kathryn Bauman, Executive Director <br />Telephone Number: 919 245 -33fl9 E- Mail: kbau-nana_oathwaystnrhangenc.org <br />a) Indicate the type of Human Service Needs Priority, if program applicable: <br />0 Priority Area #1: safety -net services for disadvantaged residents <br />El Priority Area #2: education, mentorship, and afterschool programming for <br />youth facing a variety of challenges <br />Z 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 />Ei <br />Affordable Housing <br />Affordable Healthcare <br />Education <br />X <br />X <br />Famil Resources <br />Jobs /Jobs Training <br />Food <br />Transportation <br />Other: Please specify <br />deify Disabled Public Housing <br />Neighborhoods/Residents <br />X IX <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 the Program(s) <br />to be funded. For each, briefly describe the coordinated /collaborative efforts. <br />Department of Social Services — Our staff provides presentations and <br />liaises with DSS staff to enroll participants, monitor their progress, and <br />support their case management needs <br />o Courts /Probation /Parole We liaise with court personnel and community <br />corrections staff to receive referrals and provide /receive updates <br />regarding participant progress <br />PROGRAM INFORMATION 1/23/2018 11:18:32 AM Page 21 of 30 <br />