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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 /> Conduct five adaptive sports <br /> Conduct 2 adaptive sports days in identified Orange <br /> days in identified Orange County Public Schools, <br /> County Public Schools or Conduct 10 adaptive sports <br /> Program Chapel Hill/City of Carrboro days in identified Chapel <br /> Activity 4 Schools Hill/City of Carrboro Schools <br /> Visit the identified school and Visit the identified school and <br /> present adaptive sports to present adaptive sports to <br /> students/faculty and staff students/faculty and staff <br /> within the school to promote within the school to promote <br /> awareness, inclusion and awareness, inclusion and <br /> tolerance. We will also tolerance. We will also <br /> encourage any students with encourage any students with <br /> disabilities to join our disabilities to join our <br /> adaptive sports teams to adaptive sports teams to <br /> Program promote health and increase promote health and increase <br /> Goal positive outcomes. positive outcomes. <br /> Fifteen schools in Orange <br /> 2 schools in Orange County County Public Schools/Chapel <br /> Public Schools/Chapel Hill Hill Carrboro City Schools will <br /> Carrboro City Schools will be be visited producing <br /> visited producing increased increased awareness, <br /> awareness, inclusion and inclusion and tolerance <br /> Performance tolerance toward people with toward people with <br /> Measures disabilities. disabilities. <br /> Metrics will be gathered for Metrics will be gathered for <br /> each visit to calculate number each visit to calculate number <br /> of schools visited as well as of schools visited as well as <br /> number of attendees to number of attendees to <br /> Program Bridge II Sports' Bridge II Sports' <br /> Results presentations presentations <br /> Raise awareness in the Raise awareness in the Raise awareness in the <br /> community of adaptive sports community of adaptive sports community of adaptive sports <br /> and the importance of and the importance of and the importance of <br /> Program inclusion and acceptance of inclusion and acceptance of inclusion and acceptance of <br /> Activity 5 people with disabilities. people with disabilities. people with disabilities. <br /> Main Application 5/24/2016 9:03:13 AM P 1 of 2 <br />