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DocuSign Envelope ID:2F348727-C96D-44CB-A423-F125131FB250C <br /> AGENCY INFORMATION <br /> Please provide the following information about your agency: <br /> 1. Date of Incorporation (Month/Year):03 1984 <br /> 2. Agency's Purpose/Mission (no more than a few sentences); <br /> • Enriching the lives of seniors <br /> • Supporting families caring for aging family members <br /> • Representing the community's commitment to its elders <br /> 3. Please provide a brief description of your organization's past achievements in carrying out similar <br /> projects and evidence of successful record of meeting proposed budgets and timetables (no more than <br /> 100 words). <br /> Since 1990, Charles House has exemplified an innovative approach to serving and working with elders <br /> with frailty, challenges of aging, and their caregiving families. The Charles House Method has established <br /> a reputation for being vastly different than most settings for eldercare, a non-institutional approach that <br /> proves to be effectively therapeutic and supportive of families. Charles House has adapted its experience <br /> into creating the pioneering Neighborhood Eldercare Homes. <br /> Nearly thirty years later, Charles House continues to be a beacon for caregiving families and an <br /> exceptional learning experience for students and interns. <br /> 4. Living Wage: Does this agency pay permanent employees a minimum living wage? (Yes/No) Yes <br /> If yes, is this agency an Orange County Living Wage Certified Employe ?Yes <br /> if no, please briefly explain. <br /> Schedule of Positions: #of FTE—Full-Time Paid Positions: 17 #of FTE—Part-Time Paid Positions: 9 <br /> PROGRAM INFORMATION <br /> *Please submit for each program if applying for funding for more than one program. <br /> 5. Program Name: Charles House: Daytime Eldercare Program <br /> Program Primary Contact and Title: Paul I<lever, Executive Director <br /> Telephone Number: 919-967-7570 E-Mail: paul(@charleshouse.org <br /> 6. Please briefly describe the proposed program, including an explanation of how it aligns with the Town of <br /> Chapel Hill and Carrboro's Results Framework, and Orange County BOCC Goals and Priorities, and the target <br /> ..— <br /> population to benefit from the program. (100 words or less) <br /> Regarding Chapel Hill and Carrboro's Results Framework: <br /> Charles House Daytime Eldercare Program works primarily toward The Intermediate Result 3.2: <br /> Residents demonstrate new healthy lifestyle behaviors, particularly with performance indicators <br /> related to supporting independence, social skills, social connections and wellness (well-being) goals for <br /> both family caregivers and participant elders. <br /> Regarding Orange County BOCC Goals and Priorities: <br /> Charles House Daytime Eldercare Program relates primarily to the BOCC's priority of <br /> • Ensure a community network of basic human services and infrastructure that <br /> maintains, protects, and promotes the well-being of all county residents <br /> For Chapel Hill, Carrboro, and Orange County, Charles House Daytime Eldercare Program represents an <br /> exemplary municipal/county and nonprofit partnership, uniquely serving the wellbeing of some of the <br /> P a d e, 8 o f 2 0 <br />