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DocuSign Envelope ID: D13694BA-66F1-4441-9114-5334F2B6AC3D XHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> The consequences of adolescent pregnancy and childbearing are serious and numerous. <br /> Teen mothers are less likely to graduate from high school and more likely to live in poverty <br /> and to rely on welfare. The children of teenage mothers are often born at low birth weight, <br /> experience health and developmental problems, and are likely to be poor, abused, and/or <br /> neglected <br /> The educational programs PPSAT offers influence specific behaviors related to sexual <br /> risk-taking and reinforce protective factors to prevent teen pregnancy. <br /> In 2015, the most recent year for which data is available, North Carolina's teen pregnancy <br /> rate fell 9% to 35.2 out of every 1,000 15-19 year old girls, which is a record low in the <br /> state's history. Orange County's teen pregnancy rate dropped 35% from 2012 - from 9.6 <br /> that year to 4.4 in 2014. The number of teen pregnancies fell from 102 in 2012 to 69 in <br /> 2014, the most recent year in which county data is available. Orange County has <br /> historically had one of the lowest rates in the state, but this large reduction year-to-year is <br /> notable and a positive step. <br /> Even with this lowest and dropping overall rate, rate disparities exist by race and ethnicity. <br /> Orange County demonstrates a greater racial and ethnic disparity when it comes to teen <br /> pregnancy rates than the state as a whole. In our community, 4.3 out of every 1,000 White <br /> teens experience teen pregnancy, whereas 31.9 out of 1,000 African American and 41.3 <br /> out of 1,000 Hispanic teens are faced with this challenge. <br /> According to the 2015 Youth Risk Behavior Survey (YRBS) for North Carolina, over 43.5% <br /> of high school students report having had sexual intercourse. That includes 57.5% of <br /> juniors and 63.9% of seniors. This demonstrates that many adolescents are confronted at <br /> some point during their teen years with choices about whether or not to have sex and, if <br /> they do, whether or not to use condoms and/or other contraceptives. <br /> Research shows that teens who begin having sex at an earlier age are less likely to use <br /> contraception and more likely to become pregnant and to become a parent. They are also <br /> more likely to accumulate a greater number of lifetime sexual partners. Of those that <br /> reported having had sex, only 60.8% used a condom the last time they had sex. In <br /> addition, 21.2% reported using drugs or alcohol before sex. <br /> f) Who is your target population of individuals to benefit from this program and how <br /> will they be identified and connected with the program? <br /> This project will primarily serve middle and high school aged teens living in Orange <br /> County, Chapel Hill and Carrboro. Our Community Health Educator works with social <br /> workers and counselors in the schools and community partners to promote the program <br /> and receive direct referrals. Teen Connections and Smart Girls are available to any teen <br /> that meets the age requirements for the curricula. Interested teens complete an application <br /> and interview with the educator to demonstrate their interest in the program. When there <br /> are more applicants than spaces available, the educator gives priority to older teens that <br /> many age out of the program sooner and reserves a space the following year for teens <br /> that she cannot accommodate. <br /> PROGRAM INFORMATION 1/27/2017 3:10:56 PM <br />