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DocuSign Envelope ID:3457204A-7765-4E36-8B42-227F6F673AF6 XHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> 1. YOLD <br /> 3. PROGRAM INFORMATION (Submit a separate Section 3 for each program) <br /> Program Name: 1. Youth Organizing and Leadership Development (YOLD): Youth Board <br /> and Freedom School <br /> Program Primary Contact and Title: Christine Abernathy, Director <br /> Telephone Number: (704) 277-0043 E-Mail: abernathy.christine @gmail.com <br /> a) Indicate the type of Human Service Needs Priority, if program applicable: <br /> ❑ 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 /> b) Indicate the type of program for which you are requesting funding <br /> (Check all that apply to this program) <br /> Program Category Youth Adult Elderly Disabled Public Housing <br /> Neighborhoods/Residents <br /> Affordable Housing <br /> Affordable Healthcare <br /> Education X <br /> Family Resources <br /> Jobs/Jobs Training <br /> Food <br /> Transportation <br /> Other: Youth <br /> Organizing and X <br /> Leadership <br /> Development <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 /> • Beat Making Lab worked with YCP program director to create Freedom School <br /> and provide a workshop. <br /> • Herban Garden worked with YCP program director to provide a workshop. <br /> • Sacrificial Poets worked with YCP program director to provide a workshop. <br /> • Boomerang provided YCP with a space. <br /> • Fight for $15 worked with YCP program director to provide a workshop. <br /> • Youth Organizing Institute worked with YCP program director to provide a model, <br /> advice for Freedom School, and a workshop. <br /> • Street Scene Teen Center worked with YCP program director to create Freedom <br /> School. <br /> PROGRAM INFORMATION 1/31/2017 12:37:26 PM Page 13 of 45 <br />