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PROGRAM INFORMATION2/9/2017 4:13:51 PM Page 13 of 22 <br />3. PROGRAM INFORMATION (Submit a separate Section 3 for each program) <br />Program Name: Spoke’n Revolutions Youth Cycling <br />Program Primary Contact and Title: Kevin Hicks <br />Telephone Number:919-452-2272 E-Mail: Kevin@TriangleBikeworks.org <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 applytothis program) <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 />Program Description (3 pagesOR LESS) <br />Please provide thefollowing information about the proposed program: <br />d)Summarize the program services proposed and how the program will address a <br />Town/County priority/goal? <br />Concerning Priority Area #2 Triangle Bikeworks helpsto make sure summer learning <br />loss is reduced for low to middle income youthof color participating in the program. <br />e)Describe thecommunityneedorproblem tobe addressed in relation to the Chapel Hill <br />Program Category Youth Adult Elderly Disabled Public Housing <br />Neighborhoods/Residents <br />Affordable Housing <br />Affordable Healthcare <br />EducationX <br />Family Resources <br />Jobs/Jobs Training <br />Food <br />TransportationX <br />Other: Please specify <br />_EDUCATION <br />ENRICHMENT___ <br />EXHIBIT A <br />PROVIDER'S OUTSIDE AGENCY APPLICATION <br />DocuSign Envelope ID: 0D59222E-5A4E-4094-9D22-7F342E2FD1A3