2018-473-E Finance - Bridge II Sports outside agency agreement

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DocuSign Envelope ID: E30588DE -A1 BC- 443D- A5C4- 3BE790331500 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION Based on data in our CRM, over 50% are identified as low- moderate income. bb) What efforts do you make to seek feedback about your program from your target population (e.g. survey, evaluations, etc. ?) Surveys are sent out after each event. cc) include any other pertinent information. BIIS has a $1 million child molestation insurance policy BIIS staff and coaches: • Working with children are background screened • Are trained and certified in the SafeSport program created by the USA Olympic /Paralympic Committee • Are trained and certified in concussion training by the Centers for Disease Control (CDC) • Are trained and certified in Positive Coaches Alliance • Are trained and certified in Red Cross First Aid and CPR • Many staff and coaches are people with disabilities, understanding the journey and recovery. • Trained it TBI /PTSD Additional Program Information dd)Target Population Complete the following tables, with numbers (not percentages) of individuals served and to be served, to the best of your ability. Program Target. Population.Demographics Actual Estimated Projected 2016 -17 2017 -18 2018 -19 Gender Male Female Total Ethnicity (We will collect next time) This is what we did collect African- American Amputee American Indian /Alaska Native Blind/ Low Vision Asian Cerebral Palsy Caucasian Spina Bifida Native Hawaiian /Pacific Islander Spinal Cord Injury Other: TBI /PTSD /Stroke Total Of the above, how many Hispanic /Latino 505 525 550 127 150 175 632 675 725 41 60 70 18 25 30 36 40 45 75 85 95 88 90 100 374 375 385 632 675 725 We will do a Increase Increase better job by 5% by 5% PROGRAM INFORMATION 1/22/2018 10:12:15 AM Page 23 of 30