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DocuSign Envelope ID: FCA96EA6-6080-4E8E-8EFF-B03ECA597827 <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Program Description (3 pages OR LESS) <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 /> The Community Impact Program addresses the goal to ensure a community network of basic <br /> human services and infrastructure that maintains, protects, and promotes the well-being of all <br /> county residents, and priority four which aims to review services to identify and protect 'safety net' <br /> programs and services. The program supports the Chapel Hill goal of creating a place for <br /> everyone, all children can attend an after-school Program regardless of income. Our agency <br /> provides youth from kindergarten through twelfth grade with an after-school youth development <br /> program focused on three main goals or outcomes as follows: <br /> The PRIORITY OUTCOMES are: <br /> 1.Academic success in school with end-goal to graduate from high school ready for college, <br /> trade school, military or employment; <br /> 2. Good character and citizenship-to become an engaged citizen involved in the community, <br /> register to vote and model strong, positive character; <br /> 3. Healthy life style- to adopt a healthy diet, practice good lifestyle choices and make a <br /> lifelong commitment to fitness. <br /> While all children are eligible to join, the Club focuses on the population who "needs us most," <br /> those unable to access other Chapel Hill-Carrboro after-school programs, even on scholarship, <br /> which often have waiting lists and which present transportation problems. <br /> Providing after school academic enrichment and development to children who currently are poorly <br /> served or served not at all, centrally fills the stated Goal of maintaining, protecting and promoting <br /> the well-being of all of our county residents with this 'safety net' program. <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 Board Priorities, or other community priorities (i.e. <br /> Council/Board Goals). Reference local data (using the provided links, i.e. Chapel Hill <br /> Human Services Needs Assessment)to support the need for this program. <br /> A needs survey found that, although there are many activities for children in the Chapel Hill- <br /> Carrboro area, most of them have waiting lists, have costs that prohibit low income children from <br /> taking part and are not open long enough or often enough to be helpful to and useful for our target <br /> population, to achieve and maintain the goals of the Program for the youth enrolled. <br /> Over the years, approximately 35% of the student population in the Chapel Hill Carrboro Schools <br /> are currently qualified for free or reduced lunch. In addition, 600 families in Chapel Hill/Carrboro <br /> live on $15,000/year or less and children in these families cannot afford any of the programs <br /> offered after school, even on scholarship. After-school programs have consistent waiting lists and <br /> also pose transportation difficulties. <br /> These kids are left to wander the streets during the most dangerous hours for kids (3pm-7pm) <br /> when either they commit crimes or crimes are committed against them. <br /> PROGRAM INFORMATION1/26/2017 14:54:11 a1/p1 Page 14 of 22 <br />