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DocuSign Envelope ID:A6B9A80E-25C6-439A-A77D-6C8B04CDDFE2 XHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> in harmony with nature and basic skills (e.g., flint making); and programs on plants (e.g., <br /> edible plants). We teach children and adults all of those concepts. Our collaboration with <br /> Blackwood Farm is to work with them to develop interpretive signs. <br /> f) Who is your target population of individuals to benefit from this program and how will they be <br /> identified and connected with the program? <br /> Youth, ages 5 to 17 years old, that reside in Orange County. Camps in Durham are for <br /> ages 5 to 17 year olds, with exclusive teen camps for ages 13 - 17. Camps offered at <br /> Blackwood Farm Park will be for youth, 7 to 12. Scholarships are offered through an <br /> application process. We can determine who is from Orange county and what their financial <br /> needs are. Parents fill out an application and include a $25 application fee and the first <br /> page of their tax returns. Those in need of financial aid that live beyond 5 miles from the <br /> camp location will be offered gas cards or cab fare for the camp week if enough funds are <br /> available. <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 /> • Karen McCall, Education Director, B.S. in Mathematics from UNC-W with 14 years of <br /> experience as a naturalist and program coordinator. Camp and program coordinator at <br /> Piedmont Wildlife Center for 4 years. <br /> • Hannah Royal, B.A. Interdisciplinary Studies-Environmental Studies with focus on <br /> Wildlife and Fisheries Science from Univ. of TN, Off-Site Program Coordinator. <br /> • Other staff will be hired in the next few months that are naturalists, teachers, biology <br /> or ed majors hired as counselors or college interns <br /> • Teen Counselors-in-training providing teens an opportunity to practice leadership <br /> skills and assist adult counselors. <br /> • We train interns and teens in our Counselor-in-Training program by coaching them on <br /> how to work with children of varying ages; give them the chance to develop and/or lead age <br /> appropriate activities; they receive feedback and are challenged so they become confident <br /> potential leaders in our community. Teens who are new to the program must attend our <br /> Outdoor Leadership Camp or "shadow" on of our exemplary veterans and get counselor <br /> feedback before becoming a CIT in our camps. <br /> h) Describe the specific period over which the activities will be carried out and include an <br /> implementation timeline. <br /> Camps will be offered for week-long sessions, from 9:00 a.m. to 3:00 p.m. with extended <br /> care options. Camps begin June 12, 2017 and run through August 25, 2017. <br /> Timeline: <br /> - Open registration for camps and get advertising out by Jan 1, 2017 <br /> - Applications are accepted for scholarship needs Jan 2, 2017 <br /> -Offer scholarships after all paperwork and administration fees have been received by office <br /> 1/12/2017 2:56:42 PM II I:' 22 •r 29 <br />