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DocuSign Envelope ID: 1007B77C-A009-4AA3-964B-3B03B9585341 <br /> txnibit A-continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> 2. AGENCY INFORMATION <br /> Please provide the following information about your agency (Limit of 2 pages total): <br /> a) Years in Operation, Date of Incorporation (Month/Year) <br /> - Years in Operation: In February 2016, Bridge II Sports will have been in operation for nine <br /> years. <br /> - Date of Incorporation: Bridge II Sports began on February 23, 2007 <br /> b) Agency's Purpose/Mission <br /> Bridge II Sports mission is to educate, develop, and implement opportunities for youth and <br /> adults with physical disabilities to play individual, team and recreational sports. Bridge II Sports <br /> provides equipment, develops sports, teams and coaching, thereby helping people with <br /> physical disabilities to discover tenacity, confidence, self-esteem, and the joy of finding the <br /> player within. Bridge II Sports vision is that by creating opportunities, Bridge II Sports develops <br /> a culture of empowerment that fosters respect for all abilities and has a life changing impact on <br /> all humanity. <br /> c) Types of Services the Agency Provides <br /> Bridge II Sports began with one event in 2007 and had 12 participants. In 2015, Bridge II <br /> Sports had 794 people participate in 14 programs. Current Bridge II Sports programs include <br /> wheelchair basketball teams, track and field, adaptive cycling (handcycling, recumbent, and <br /> tandem), goal ball, wheelchair and amputee tennis, boccia ball, fishing, kayaking, golf, Girls <br /> inspired Girls empowered (GiGe), and Paralympic experiences. Bridge II Sports also hosts the <br /> Valor Games Southeast, a three day competition for military and veterans with physical <br /> disabilities. Bridge II Sports also conducts adapted sports days in the public school system and <br /> teaches disability awareness and education. All of our programs are run through community <br /> partners to provide the coaching and play space. Bridge II Sports also does a lot of community <br /> outreach and in 2015 presented on adapted sports and disability awareness in the community <br /> 154 times. Bridge II Sports also hosts nationally sanctioned tournaments by the appropriate <br /> National Governing Body for the sport. In 2016, Bridge II Sports will host two National <br /> Wheelchair Basketball Association sanctioned youth tournaments. <br /> d) Agency's Experience with Similar Programs as the Funding Request <br /> Bridge II Sports has been running the programs for which we are requesting funding for the last <br /> nine years. Bridge II Sports is a Silver Medal US Paralympic Sports Club, a chapter of Disabled <br /> Sports USA, and a member of US Association of Blind Athletes. <br /> e) Other Pertinent Agency Information <br /> Bridge II Sports has s $3m child molestation insurance policy. <br /> Bridge II Sports staff and coaches are: <br /> • Those working with youth are background screened. <br /> • `Certified in Sport' [where applicable]. <br /> • Receive training and certification through the `Positive Coaching Alliance', `USOC Safe <br /> Sport', Darkness-to-Light' and `Heads Up Concussion Awareness', Red Cross Training <br /> in First Aid/CPR. <br /> Main Application 5/24/2016 9:03:13 AM P of 2 <br />