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DocuSign Envelope ID: 07FEE1A8- E83F- 44CF- 99C4- 6lA6E4C39BD2 <br />EXHIBIT A - PROVIDER'S OUTSIDE AGENCY APPLICATION <br />2. AGENCY INFORMATION (Be Very Brief and Concise) <br />Please provide the following information about your agency (2 pages OR LESS): <br />a) Years in Operation, Date of Incorporation (Month/Year): 02/1999 <br />b) Agency's Purpose /Mission (no more than a few sentences): The mission of the Disability <br />Awareness Council is to identify barriers to people with disabilities and create change. Our <br />mission is to raise awareness levels regarding all aspects of disability — whether permanent <br />or temporary conditions. <br />c) Types of Services the Agency Provides (bullet format): <br />• Working with the Career Development Center to find jobs <br />• Computer workshops <br />• Assessment Assistance for program and facility accessibility <br />• Counseling to assist students in developing effective learning strategies and self - <br />advocacy skills <br />• Disaster Preparedness Training <br />d) Agency's History with Providing These Services: TDAC has been providing disability <br />accommodating resources since its inception in 1970. All of our council member <br />administrators hold advanced training /degrees in some sort of vocational counseling. We <br />each also bring a wealth of lived experience to the table. <br />e) Other Pertinent Agency Information (Ex. Has the agency experienced any major changes <br />in the past year? Is there a new Executive Director? Are there new initiatives ?) <br />NO <br />f) Schedule of Positions 14 Part -time staff and 5 Part -time volunteers <br />etc. <br />Full Time Equivalent (FTE) staff will be noted as 1.00; half time as .50; quarter time as .25, <br />• Calculate a Full Time Equivalent for all recorded volunteer hours using the following: <br />Total Volunteer Hours = Volunteer FTE <br />2,080 <br /># of FTE - Full -Time Paid Positions: 0 <br /># of FTE - Paid Part -Time Positions: 0 <br /># of Volunteers: 5 # of FTE - Volunteers:5 <br />g) Living Wage <br />Does this agency pay permanent employees a minimum living wage? (Yes /No) No <br />Agency Information 2/9/2017 4:31:06 PM Page 8 of 22 <br />