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DocuSign Envelope ID:2164F437-BF9D-46A1-B13B-7740B02003DA t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> At present, the location for the Club is at the Northside Elementary School in Chapel Hill. The full <br /> time Program Director, Brittney Goldston, and two part time teachers, plus volunteers do and will <br /> carry out the program. <br /> Our Program Director, Brittney Goldston, has five years' experience with leading Boys & Girls Clubs <br /> programs. Brittney spends a minimum of 40 hours per week, all on the Chapel Hill Community <br /> Impact Program. She is building relationships in the community, working closely with the staff of <br /> Northside and teachers, and she is responsible for developing and implementing the program <br /> which is based on the long-standing Boys & Girls Clubs of America basic programs which have been <br /> enhanced over the years in order to maximize the outcomes of Academic Success, Good Character <br /> and-Citizenship,andHealthyLifestyles. <br /> We have two part-time employees, who are both teachers during the day at the Northside <br /> Elementary School. They become employees for the Chapel Hill Program as soon as the school day <br /> ends and work for our program from 2:30 - 5:30 on Monday - Thursday, the days the program is <br /> currently open. One of these part-time employees also has experience working with Boys & Girls <br /> Clubs programs through the Clubs in Raleigh. Prior experience is a bonus for the organization as <br /> well as for the members. Many of the youth we work with are high-maintenance and all the <br /> employees we have for all programs know and accept this, and in effect, thrive from the work they <br /> do because of the very nature of the clientele we serve. <br /> Brittney has been able to secure several volunteers for the program during August - December. <br /> During this time, Brittney had a high school student, an APPLES intern, a Board member and a two <br /> UNC students volunteer to work with the youth. Beginning in this past January, the volunteers <br /> assisting each week have increased as relationships have grown to include two additional groups as <br /> noted in the affiliates section of the grant. <br /> We do not lease the space at Northside. We do not have total access to the space, and are <br /> contracted to use the two classrooms we are currently in through the school and the Chapel Hill- <br /> Carrboro Schools Administration. In a recent meeting with Todd LoFrese, Assistant Superintendent <br /> of Schools, we were given permission to approach other schools, including middle schools, in the <br /> future, to expand our programs. The school administration as well as the Principal and Social <br /> Worker at Northside are excited about our program and the impact we are already having with the <br /> youth. They already would like to see us continue to expand as we have more youth wishing to be <br /> in the program than we can handle with the space being provided at Northside. We see no <br /> possibility that the need and the opportunities will decrease in the future, but instead, they will <br /> continue to grow. <br /> The $20 per school year membership fee for each child mainly covers their registration. Some <br /> families cannot afford this and the fee is paid by either the Northside PTA or by scholarship. We do <br /> not turn away youth due to the inability to pay. This fee helps us to ensure that those youth who <br /> want to come to the program actually do come. We cannot have the impact we desire if a child <br /> only attends occasionally. They need to attend at least three days a week. If after several weeks, <br /> they do not attend the minimum amount of days and it is determined there is no reasonable <br /> explanation for the lack of attending, parents are given notice that the child will lose their place in <br /> the program unless they attend as expected. If a child then continues not to attend as expected, <br /> the spot is opened up for another child on the waiting list who will attend the required days that <br /> Main Application 5/24/2016 8:59:25 a5/p5 Pag 8 f 23 <br />