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DocuSign Envelope ID:88377437-EE99-4E08-B6B1-CD4F113C0672 <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> 2. AGENCY INFORMATION (Be Very Brief and Concise) <br /> Please provide the following information about your agency (2 pages OR LESS): <br /> a) Years in Operation, Date of Incorporation (Month/Year): 10 years in operation; 02/2007 <br /> b) Agency's Purpose/Mission (no more than a few sentences): At Bridge II Sports (BITS), <br /> our mission is to educate, develop, and implement opportunities for youth and adults <br /> with physical disabilities to play individual, team and recreational sports. <br /> c) Types of Services the Agency Provides (bullet format): <br /> • Adapted sport programming to children and adults with physical disabilities <br /> • Trainings, clinics, competitions to engage athletes and coaches in higher levels <br /> of competitive play <br /> • Statewide school initiative educating students about acceptance, compassion, <br /> and inclusive play <br /> • Disability etiquette/diversity in the workplace trainings for businesses and <br /> corporations <br /> • Municipal and university partnerships to empower communities on the <br /> importance and need of accessibility <br /> d) Agency's History with Providing These Services: <br /> 10 years of boccia and wheelchair basketball programming provides seasonal <br /> recreation opportunities for individuals with disabilities in Orange County. Athletes and <br /> community members experience adapted practices, clinics, trainings and <br /> competitions. Our partnerships with municipality groups and UNC-Chapel Hill grows <br /> our programs within the County, simultaneously maintaining sustainability. <br /> e) Other Pertinent Agency Information (Ex. Has the agency experienced any major changes <br /> in the past year? Is there a new Executive Director?Are there new initiatives?) <br /> BIIS implemented the #EverybodyPlaysNC educational initiative, helping to serve <br /> over 5,000 students across NC since June 2016. Surveys are distributed to gain <br /> insight into students' views, illustrating the learned concepts towards acceptance of <br /> disability. <br /> f) Schedule of Positions (For Entire Agency): <br /> # of FTE - Full-Time Paid Positions: 8 # of FTE - Paid Part-Time Positions: 1 <br /> # of Volunteers: 897 # of FTE -Volunteers: 4,548 <br /> g) Living Wage <br /> Does this agency pay permanent employees a minimum living wam e?Yes <br /> If yes, is this agency an Orange County Living Wage Certified Employer? No <br /> If no, please explain. BIIS has submitted an Employer Application for the Orange <br /> County Living Wage Certified Employer program and is awaiting results. All employees <br /> at BIIS earn $12 or more per hour with healthcare. <br /> Agency Information 1/27/2017 3:48:29 PM P gf 2 6 <br />