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DocuSign Envelope ID: EA54395E-EA79-461 B-8A4A-AODF56E9A02D <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Steffi Tornow, Volunteer & Internship Coordinator, received her BA in Urban Studies from <br /> College of Charleston. She is an Americorps and NCCC alumni and has worked with AHH <br /> for many years in various capacities, including as a volunteer companion. <br /> Each intern is interviewed and undergoes a background and DMV record check. They are <br /> also run through the North Carolina DHSR registry and required to provide 3 references. <br /> Once approved, interns attend a full day training through AHH before working with clients. <br /> This training includes an overview of our Companion Handbook, which explains internal <br /> policies& procedures, DHSR regulations and provides`tips'for companion care work. Interns <br /> are instructed on and provided with materials related to proper boundaries, effective <br /> communication, companion safety, age related issues and mobility. In addition, interns <br /> participate in the Secure Project sensitivity training. AHH provides various guest speakers on <br /> this day as well, including topic lectures from Therapeutic Alternatives, practicing <br /> Occupational Therapists, the Director of UNC Partnership in Aging program, members of our <br /> Board of Directors, clients and former interns. <br /> h) Describe the specific period over which the activities will be carried out and include an <br /> implementation timeline. <br /> A Helping Hand provides the Caregiver Collaborative program throughout the year and has <br /> utilized the support of the internship program in this manner for more than 10 years. Our <br /> recruitment and onboarding of interns occurs within the first month of each semester. <br /> i) Why is funding this program a good investment for the community? How does funding this <br /> program add value to the community? (250 words OR LESS) <br /> The Caregiver Collaborative continues and expands Orange County's commitment to <br /> improving the quality of long term senior care options. It contributes to eliminating barriers to <br /> essential services and provides the somewhat transient student population in this area with <br /> a more personal connection to the community. Furthermore, an investment in this program <br /> is an investment in the future healthcare practitioners of this and other communities. We are <br /> creating and improving upon the roadmap to elderhood that we will be using in our own aging <br /> process. <br /> j) Describe what would happen if requested funding is not awarded at all or if a reduced <br /> allocation is recommended. <br /> A Helping Hand is at a turning point in its development and is working to expand its capacity <br /> over the next 3 to 5 years. Without the requested funding, AHH will not be able to make the <br /> vital leap forward that is required to meet the increasing demand for these services. We have <br /> recently begun to track all assignment requests that we are unable to fill, which are primarily <br /> for transportation to medical appointments. In doing this, we discovered that an average of <br /> 90 assignments per month go unfilled due to lack of capacity. Approximately half of those <br /> requests are from Orange county residents. <br /> k) Include any other pertinent information. <br /> PROGRAM INFORMATION 1/31/2017 3:19:07 PM <br />