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DocuSign Envelope ID:88377437-EE99-4E08-B6B1-CD4F113C0672 <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Please provide the following information about the proposed program: <br /> d) Summarize the program services proposed and how the program will address a <br /> Town/County priority/goal? <br /> Individuals with cerebral palsy, or those whose limbs are severely affected can <br /> engage in recreational and competitive boccia. Athletes with more severe disability <br /> and secondary health issues compete where the playing field among athletes is <br /> equal, safe and designed to meet their specific needs. Bridge II Sports provides <br /> adapted equipment and memberships at low prices with scholarship opportunities. <br /> Youth and adult teams give athletes a chance to be part of regional, statewide and <br /> national competitions. Programming improves the physical, mental and social <br /> health of the disabled population within Orange county, while also providing <br /> community members with the opportunity to learn inclusion, compassion and <br /> acceptance. <br /> e) Describe the community need or problem to be addressed in relation to the Chapel Hill <br /> Human Services Needs Assessment, Orange County BOCC Goals and Priorities, Town of <br /> Chapel Hill Council Goals, Carrboro goals, or other community priorities (i.e. Council/Board <br /> Goals). Reference local data (using the provided links, i.e. Chapel Hill Human Services <br /> Needs Assessment) to support the need for this program. <br /> Lack of programming for individuals with disabilities leads to a decrease in physical, <br /> mental and social development. BIIS promotes the lives impacted by disability <br /> through empowering athletes to embrace their ability. This creates positive <br /> outcomes for the Board of Orange County Commissioner's #1 Goal to promote the <br /> well-being of all residents. Championing those living with disability allows us to help <br /> them to reach health goals and ultimately creates a higher quality of life for this <br /> vulnerable population. Our programming instills value to county residents, fostering <br /> a community that accepts diversity and innovates with inclusion in mind. <br /> f) Who is your target population of individuals to benefit from this program and how will they <br /> be identified and connected with the program? <br /> Individuals living in NC who have Cerebral Palsy, Muscular Dystrophy, a traumatic <br /> brain injury, a visual impairment or low-vision, stroke, and wheelchair users can <br /> participate in boccia. Youth and adult potential athletes are connected to BIIS <br /> through the #EverybodyPlaysNC school initiative, rehabilitation and physical therapy <br /> departments, hospital clinics/programs, our boccia clinics, BIIS Paralympic <br /> experience programming through business/organization collaboration, university <br /> collaboration projects, and social media and marketing platforms. <br /> g) Describe the credentials of the program manager and other key staff. (Ex. Identify Program <br /> Manager and credentials, describe training provided to volunteers, etc.) <br /> The program manager is a Certified Therapeutic Recreation Specialist who is also <br /> certified in program planning. Other key staff have college degrees/specialties in <br /> Park, Recreation and Tourism, Sport Management, and Kinesiology, as well as a <br /> master's degree in Adapted Physical Education. All program staff have certification <br /> in: Darkness to Light, CPR/First Aid, Concussion training by the CDC, SafeSport <br /> PROGRAM INFORMATION 1/27/2017 3:48:29 PM P a g e 11 of 2G <br />