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DocuSign Envelope ID: C2E9E60D-5370-4D81-B634-C12E6C6B9DB9 XHIBIT 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): July 1999 <br /> b) Agency's Purpose/Mission (no more than a few sentences): <br /> Our mission is to.1. To strengthen the minds, bodies and hearts of young people through <br /> karate training, because hard physical training leads to increased spiritual strength and <br /> patience, which in turn leads to the ability to make better life decisions. 2. To deepen <br /> relationships between people of diverse backgrounds through hard training, an inherent <br /> 'equalizer' between people. 3. To strengthen American communities (starting in North <br /> Carolina, especially in Durham and Orange Counties) by thus strengthening individuals who <br /> might then serve as role models for other members of the community. 4. To create <br /> individuals who are 'community minded' and open minded people who VALUE works for the <br /> sake of community rather than merely for personal economic and social advancement. <br /> c) Types of Services the Agency Provides (bullet format): <br /> • This project allows at-risk and financially challenged youths in Chapel <br /> Hill/Carrboro/Orange County to participate in an athletic activity that is inherently life <br /> and character redefining, and inherently conducive to the formation of a leader-type <br /> mentality. Participating teens will see improvements in confidence, self-discipline and <br /> physical health. They will receive the support that they need to begin to make a <br /> better set of decisions in life and, in so doing, they will become either deliberate or <br /> unknowing role models for other similarly challenged members of the community. <br /> • Referred youth attend 2-5 two-hour classes per week for 10 weeks. Court referred <br /> kids are often ordered to attend 20 classes. Classes are afternoons at 5 pm for <br /> younger kids, and 6:30 pm for teens and adults. Program staff maintains client files <br /> according to JCPC (Juvenile Crime Prevention Council) standards, attends JCPC <br /> meetings and court planning meetings, and interacts with referring counselors to <br /> achieve the best possible result for all program participants. <br /> • Karate is an activity that teaches all students to be more "upstanding" in terms of <br /> personal behavior and personal presentation; it teaches them to stand up taller, walk <br /> lines in life more straight than before; youth interact with figures of authority in a <br /> more respectful manner improving pro-social skills and supporting factors—including • <br /> physical health, confidence, self-esteem, self-discipline, anger management and <br /> conflict resolution—youths become less inclined to get themselves into trouble with <br /> crime, gangs, drugs, etc. <br /> d) Agency's History with Providing These Services: <br /> We have been operating our Young Warriors Program consistently for 8 years, funded by <br /> grant-making bodies including: the NC Governor's Crime Commission (GCC), Durham and <br /> Orange County's Juvenile Crime Prevention Councils (JCPC), Triangle Community <br /> Foundation (TCF), the City of Durham, the Cities of Chapel Hill and Carrboro, Orange <br /> County, Wells Fargo Foundation, the Mary Duke Biddle Foundation, Strowd Roses <br /> Agency Information 1/31/2017 11:45:20 AM Page 4 o f 2 0 <br />