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DocuSign Envelope ID: 2F546B53- F2D1- 407D- A1C7- 26EB823DOFFD i <br />1 3. PROGRAM INFORMATION -(Submit a separate Section 3 for each oroaram) i I <br />Program Name: Parent Aide Program <br />Program Primary Contact and Title: Sarah E.G. Black Executive Director <br />Telephone Number: 336- 227 -5601 E -Mail: sarahblack348 (@gmail.com <br />a) indicate the type of Human Service Needs Priority, if program applicable: <br />® Priority Area #9: safety -net services for disadvantaged residents <br />® Priority Area #Z: education, mentorship, and afterschool programming for <br />youth facing a variety of challenges <br />0 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 />,Adplt : <br />Elderly <br />;Disabled <br />Public Housing <br />Neighborhoods /Residen <br />Affordable Housing <br />Affordable Healthcare <br />Education <br />Family Resources <br />X <br />X <br />X <br />X <br />X <br />Jobs /,fobs Training <br />X <br />X <br />X <br />Food <br />Transportation, <br />X <br />X <br />X <br />X <br />Other: Parenting <br />support <br />X <br />X <br />X <br />X <br />c) Provide a bulleted list of other agencies, if any, with which your agency I <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. i <br />• Department of Social Services and Department of Health: referrals, governmental <br />services. Agency has a Memorandum of Agreement with Orange County's Department of <br />Social Services. <br />I <br />• Department of Juvenile Justice and Orange County Court System: referrals. <br />• Orange County 1 Chapel Hill School System 1 UNC- Chapel Hill: referrals and interns. <br />• Mental Health /Social Service Agencies/ Local Mental Health Entities: referrals and mental <br />health services. <br />• Exchange Clubs/Churches/Business: These entities assist the agency by providing <br />monetary donations, concrete donations for items needed by families, and volunteers for <br />serving families in Orange County_ <br />PROGRAM INFORMATION 1/22/2018 12 :44:36 PM Page 13 of 27 <br />