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DocuSign Envelope ID: 28872B9E- 993A- 44CA- 8A5E- OBDA1F6178CB <br />Exhibit A: Provider's Outside Agency Application <br />3, PROGRAM INFORMATION (Submit a separate Section 3 for each program) <br />Program Name: ADA Technical Assistance Training /Housing, Employment, and Transportation <br />Program Primary Contact and Title: Dr. Timothy Miles, Executive Director <br />Telephone Number: 919- 245 -4337 E -Mail: timothy. rniles -triangledac.org <br />1) Indicate the type of Human Service Needs Priority, if program applicable: <br />X❑ 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 />rn) 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 />X <br />X <br />X <br />Affordable Healthcare <br />Education <br />X <br />X <br />X <br />X <br />Family Resources <br />Jobs /Jobs Training <br />X <br />X <br />X <br />X <br />Food <br />Transportation <br />X <br />X <br />X <br />Other: <br />Special Technology <br />Trainin <br />X <br />X <br />X <br />n) Provide a bulleted list of other agencies, if any, with which your agency <br />coo rdinateslcollaborates to accomplish or enhance the Projected Results in the Program(s) <br />to be funded. For each, briefly describe the coordinated /collaborative efforts. <br />The Orange County Disability Awareness Council training programs are being <br />developed and implemented with the collaboration of: <br />o Team ing4Technologlies, the United Way <br />o NC ADA Network <br />o UNC Apples Interns, High School Service - Learning, UNC PA Interns <br />o Various Orange County offices: OC Libraries, Adult Social Services, etc. <br />o NC Central Food Bank <br />o OC Senior Centers <br />o S.H_I.P. <br />o Triangle Transit, and area transit agencies <br />o Various Chapel Hill, Carrboro offices <br />o Volunteer Center of Durham <br />We invite any other social agencies that desire training or consulting concerning <br />implementation of the ADA and customer service to people with disabilities. <br />PROGRAM INFORMATION 112912018 3:34:15 PM Page -15 of <br />