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DocuSign Envelope ID: DlA09OF6-2A4E-4FOB-9FB7-92FFFC9El3D2 XHIBIT A: <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> • What's Next? For Middle School: Six workshops were held at <br /> A.L. Stanback between April and June for eight 6th grade <br /> boys.The objective is to provide support for the"transition" <br /> years between elementary and high school. Boomerang is <br /> committed to providing these workshops in 2017-18 and <br /> hopes to secure funds to support this. <br /> • Floraffiti: 6 court-involved youth participated in a rehearsal <br /> workshop on April 6th, and performed their spoken word <br /> poetry during the 2"d Friday ArtWalk on April 14th in Chapel <br /> Hill and Carrboro. <br /> Current Year Estimated Results 75% <br /> Next Year Projected Results 75% <br /> 4. Program Activity name Intensive Follow Up <br /> Program Goal 50% of youth (6/12) identified for intensive follow up services will <br /> show an increase in social connectedness (positive peers, family, <br /> school, community) by the end of the school year <br /> Performance Measures Beadiness to Change scale, post-surveys, school/family feedback, <br /> decreased recidivism <br /> Previous Year Program Results 140% of the 12 students identified for intensive,follow-up services <br /> showed an increase in social connectedness. Staff visited students <br /> at school when feasible, followed up with families as needed and <br /> engaged students via social media.All either graduated or were <br /> promoted to the next grade. Each one of them moved upwards in <br /> the Readiness to Change Index' from 5 to 8 or 9. <br /> Current Year Estimated Results 50% <br /> Next Year Projected Results 50% <br /> p) Program Budget <br /> 1. Submit your program budget. ATTACHED <br /> 2. Program Budget Detail— Provide description of"other" budget items, not defined. <br /> The attached budget provides itemized detail for the majority of anticipated expenses. The <br /> budget line `other costs" is for miscellaneous expenses that we have not foreseen. <br /> Other Expenses 2016-17: <br /> Contracted Services $14,858.00 <br /> Communications & Postage (telephone/Internet) $1,949.00 <br /> Printing & Binding $503.00 <br /> Repairs & Maintenance $847.00 <br /> Dues &Subscriptions $864.00 <br /> Insurance & Bonding $8,136.00 <br /> Bank Fees $40.00 <br /> Website Development $2,950.00 <br /> Marketing $838.00 <br /> Translation Services $795.00 <br /> Conferences $50.00 <br /> Total Other Expenses $31,930.00 <br /> ' Pre-contemplation (0-3): students do not recognize the need to make any changes <br /> Contemplation (4-6): students are considering making a change and benefit from Boomerang's brief <br /> intervention made§and follow-up services <br /> Preparation (7-8): students are preparing to take action and need follow-up services to support them <br /> Action/Maintenance (9-10): students have made positive changes and need support to maintain the gains <br /> they have made <br /> PROGRAM INFORMATION Page 16 of 20 <br />