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2018-659-E Finance - Planned Parenthood outside agency agreement
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2018-659-E Finance - Planned Parenthood outside agency agreement
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Last modified
7/25/2019 3:14:14 PM
Creation date
10/4/2018 9:04:23 AM
Metadata
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Template:
Contract
Date
7/1/2018
Contract Starting Date
7/1/2018
Contract Ending Date
6/30/2019
Contract Document Type
Agreement - Performance
Amount
$20,000.00
Document Relationships
R 2018-659 Finance - Planned Parenthood outside agency agreement
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2018
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3. PROGRAM INFORMATION (Submit a separate Section 3 for each program) <br />Program Name: Sexuality Health Education and Outreach <br />Program Primary Contact and Title: Daniela Sostaita <br />Telephone Number: 919 869 4786 E-Mail: daniela.sostaita@ppsat.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 youth facing a <br />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 X <br />Family Resources X X <br />Jobs/Jobs Training <br />Food <br />Transportation <br />Other: Please specify <br />_________________ <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 />● Chapel Hill Teen Center - hosting space and recruitment <br />● Compass Center – participant recruitment <br />● Orange County Library Systems – hosting workshops, sessions, and alumni meetings <br />● Chapel Hill, Carrboro, and Orange County Schools – participant recruitment <br />● El Centro Hispano – participant recruitment <br />●Orange County Rape Crisis Center’s Youth Against Rape Culture- participant recruitment <br />● Orange County Latino Health Coalition- participant recruitment <br /> <br />Exhibit A: Provider's Outside Agency Application <br />DocuSign Envelope ID: ED368FB6-6FB1-45A7-A8CA-9AB3EAEB624E
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