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DocuSign Envelope ID:3B67A5FD-6776-4322-9152-0531CA4BC4BD XHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> 3. PROGRAM INFORMATION (Submit a separate Section 3 for each program) <br /> Program Name: WCOM Community Radio <br /> Program Primary Contact and Title: Art Menius, Board Chair <br /> Telephone Number: 919-675-2787 E-Mail: art(a-)artmenius.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 <br /> Family Resources <br /> Jobs/Jobs Training <br /> Food <br /> Transportation <br /> Other: Please specify XX <br /> Local Community <br /> created media <br /> including <br /> Broadcasting Training <br /> & experience for <br /> residents; <br /> Mentoring XX XX XX XX <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 /> • The "Wacqueline Stern Show" and "The Wake Up Call" are video recorded and <br /> broadcast on the People's Channel. TPS has shot and provided to us video <br /> resources for promotion of the station and its services. <br /> • The Strowd Roses Foundation and Shared Visions are funders of WCOM radio <br /> • Programming collaboration is developing with Little Raleigh Radio and WHUP-LPFM <br /> in Hillsborough. <br /> • Frank Porter Graham Bilingual School provides student produced Spanish Language <br /> Programming <br /> DO NOT SUBMIT THIS PAGE 2/8/2017 9:06:10 AM P a g e 1 0 o f 1 8 <br />