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DocuSign Envelope ID: E30588DE -A1 BC- 443D- A5C4- 3BE790331500 <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />Program Description (3 pages OR LESS) <br />Please provide the following information about the proposed program: <br />t) Summarize the program services proposed and how the program will address a <br />Town /County prioritylgoal? <br />Adapted competitive Events enables those with a variety of physical disabilities to <br />engage in competitive events supporting physical activity. Community members <br />living in Orange County who have a disability benefit from safe and accessible <br />adapted sports competition and adapted equipment to empower living healthy <br />lifestyles. Youth and adult teams offer all people the chance to learn new skills, <br />meet others living with disability, compete in tournaments, and achieve goals. <br />Competition allows people with disabilities to develop physically, mentally and <br />socially. Hosting local competition overcomes high cost of travel for the community <br />we serve. Hosting locally also engages the community to serve, learn, and support. <br />u) Describe the community need or problem to be addressed in relation to the Chapel Hill <br />Human Services Needs Assessment, Orange County BOCC Goals and Priorities, Town of <br />Chapel Hill Council Goals, Carrboro Board Priorities, or other community priorities (i.e. <br />Council /Board Goals). Reference local data (using the provided links, i.e. Chapel Hill Human <br />Services Needs Assessment) to support the need for this program. <br />BIIS enhances the community as the Town of Chapel Hill's Council Goals suggest in <br />"Creating a Place for Everyone." Without BIIS, individuals with disability have no <br />activity that positively impacts their health and well- being. Adaptive sports events <br />provide those with disability a safe and accessible space to engage. Volunteer <br />assistance from county residents and UNC Chapel Hill students creates sustainable <br />and supported programming that educates everyone on the idea of inclusivity <br />improvement and growth that is imperative to the future of the Orange County <br />community. Bridge II Sports is a niche organization that enables civic participation <br />among athletes, participants and community members of all ages. <br />v) 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 />People living in NC who have spinal cord injuries, Cerebral Palsy, Spina Bifida, a <br />Amputees, Little people, TBIIPTSD, Stroke, and a variety of other disabilities to <br />participate in adapted sport competition. Our youth and adult participants are <br />connected to BIIS through our #EverybodyPlaysNC school initiative, rehabilitation <br />and physical therapy departments, hospital clinicslprograms, halftime programs at <br />college basketball games, Paralympic experience programming through <br />business /organization collaboration, university collaboration projects, and social <br />media and marketing platforms. <br />w) 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 />PROGRAM INFORMATION 1/22/2018 10:12:15 AM P a g e 2 1 of 30 <br />