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DocuSign Envelope ID:E522oFFc+634-4A11~w62-1e5A3eEe57A4 <br /> EXHIBIT A <br /> PROVIDERS OUTSIDE AGENCY APPLICATION <br /> • 69% of classroom teachers (almost 7 in 10) have a student who lost someone <br /> close to them in past year <br /> • Only 7% of those teachers had ever received Bereavement Training and only 3% <br /> said their school or district offers it. Of the 7% who had training, 46% sought it <br /> out themselves <br /> • Only 1% of teachers received bereavement training as part of their coursework in <br /> college or graduate school <br /> • 63% said insufficient training and professional development are the primary <br /> things that hinders them from supporting grieving students. <br /> • Still "taboo" topics. Don't deny the reality of death, but we often deny the grief and the <br /> powerlessness that accompanies death. Bereaved can be under supported, which adds to <br /> the negative emotional impact of loss. <br /> 6l Describe what would happen: <br /> Duke Hospice Bereavement Services provides the most comprehensive children's bereavement <br /> program in the or nu. The area likely to be most impacted by a reduction in funding would be our <br /> ability to respond to all of the requests for support services to the schools. We would continue to <br /> provide counseling and support to any child but would be challenged in our ability to take those <br /> services to the children; instead the parents/guardians would bear sonic of the burden of getting <br /> their children to the site where our services are offe ed. We would continue to seek funding <br /> from other sources to ensure our ability to reach children where they are and not increase the <br /> burden of seeking care during a time when families lives are in disarray due to the death of a <br /> significant family member. <br /> (k) Other pertinent information: <br /> Minimizing change in aohUd`o life will often lead to a better outcome,but change is inevitable when an <br /> integral member of the family dies. Death can have a ripple cffectundmouroi the secondary losses <br /> can become an important part of the grieving process.These losses can be numerous and can continue <br /> for a child's lifetime <br /> A significant loss creates changes in relationship both within the family and beyond. Mourning family <br /> members may be unavailable to the child in the same way and thus the child "looses" them in a way <br /> too.These changes effect the relationships within the family,and people outside the family may also act <br /> differently.The child's.friends may act differently or the child may seek out other friends or peer <br /> groups as a result of the loss. <br /> There can be major lifestyle changes with a death. l[Uhe deceased contributed to the family's finances, <br /> there can be significant financial implications. Some children will need to move,which could involve <br /> the loss of not only their home but also perhaps the school they were in,tile neighbors they left behind, <br /> etc. The child's extracurricular activities may no longer be possible due to financial or logistical reasons <br />