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DocuSign Envelope ID: 717C8AE2- 4D6E- 4E46- A9A7- F4213973D039 <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />• Chapel Hill Farmers' Market <br />• Carrboro Farmers' Market <br />• Orange County Solid Waste - Composting <br />• Sysco and Ecolab <br />• Housing - CNCI assists members in locating, securing, and maintaining safe, dignified, <br />affordable housing. We collaborate with group homes and CASA to support our members <br />and advocate as needed if a member's residency is in jeopardy. Some of these partners <br />include: <br />• CASA (Manages Club Nova apartments) <br />• Interfaith Council <br />• Alberta Services — Homestead Place and Booth Road (Group Homes) <br />• New Destinations - Hillsborough (Group Horne) <br />• Overlook Apartments <br />• Orange County Housing Authority <br />• Empowerment <br />• Landlords <br />• Securing Other Benefits and Entitlements - CNCI assists members with securing benefits <br />and entitlements such as applying for Medicaid, Medicare, & Social Security. All of these <br />applications and re- certifications can be overwhelming. Some of these partners include: <br />• Orange County Department of Social Services — Medicaid and SNAP <br />• Social Security Administration <br />• Veterans Administration <br />• Partnerships with Local Business Community — CNCI has an employment program that <br />helps members return to paid work at local businesses in the community. Our employment <br />program helps members move toward economic stability and independence. Our local <br />business partners in our Transitional Employment Program include: <br />• Town of Carrboro <br />• Cafe Driade <br />• Open Eye Cafe <br />• National Mail Service <br />• Tarheel Lodging II LLC (Hampton Inn) <br />• Supported Education — We assist members in their educational pursuits through our <br />Supported Employment. As examples, we offer assistance with application process and <br />getting connected with the Disabilities Office. Some of these partners include: <br />• Durham Tech <br />• Central Carolina Community College <br />• University of North Carolina <br />• Alamance Community College <br />• Job Link <br />• Orange County Literacy Council <br />• Community Empowerment Fund <br />PROGRAM INFORMATION 1/23/2018 1:58:29 PM P a g e 1 6 o f 3 1 <br />