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DocuSign Envelope ID: E30588DE- A1l3C- 443D- A5C4- 3l3E790331500 <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />Work Statement Chart for Program: Bridge II Sports Adapted Competition Events <br />5. Program Activity Name <br />Valor Games SE to prepare we will hold practices to <br />include <br />Program Goal <br />Through Competition, challenge sport skills, <br />communication, teamwork, independence and physical <br />activity for cross disabilities. 125 athletes attend. <br />Performance Measures <br />Event outcomes tracked, awards given, outcomes given <br />to all athletes. <br />Previous Year Program Results <br />100 athletes attended with above accountability and <br />follow -up survey. <br />Current Year Estimated Results <br />As of 1129118, 100 athletes are registered. <br />Next Year Projected Results <br />Grow the funding support and volunteer support to <br />accommodate 140 athletes, with 25% being new. <br />6. Program Activity Name'' <br />Paddle Lake Crabtree to prepare we will hold practices <br />to include <br />Program Goal <br />Through Competition, challenge sport skills, <br />independence and physical activity for cross disabilities. <br />50 athletes attend. <br />Performance Measures <br />Event outcomes tracked, awards given, outcomes given <br />to all athletes. <br />Previous Year Program Results <br />35 athletes attended with above accountability and <br />follow-up survey. <br />Current Year Estimated Results <br />Organized in 2018 by BITS staff; Supported by community <br />and college students. <br />Next Year Projected Results <br />Grow the funding support and volunteers support to <br />accommodate a sanctioned ACA event in 2019. <br />7. Program Activity Name <br />Sanctioned Youth Wheelchair Basketball Tournament <br />Program Goal <br />Host Event in Fall of 2018. <br />Performance Measures <br />Register 6 Teams from Southeast. <br />Previous Year Program Results <br />6 Teams attend for two -day event with serving 150 <br />athletes. <br />Current Year Estimated Results <br />5 teams attended last year. Opportunity for college <br />student to volunteer. <br />Next Year Projected Results <br />Grow the funding support and volunteers support to <br />accommodate a growth for 4 more teams in 2019. <br />8. Program Activity Name Host Bridging the Gap Competition at UNC <br />Program Goal <br />Utilizing UNC College Students to organize a Goal <br />Ball /Boccia competition for our youth programs. <br />PROGRAM INFORMATION 1/22/2018 10:12:15 AM Page 25 of 30 <br />