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DocuSign Envelope ID:7B55B196-3912-4C1A-ADB4-A753058DFEFD XHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> f) Who is your target population of individuals to benefit from this program and how will they <br /> be identified and connected with the program? <br /> The Arc provides supports and services to more than three hundred adults and <br /> children with IIDD. People identified with IIDD are individuals that have autism, <br /> Cerebral palsy, Down syndrome, epilepsy and individuals that are classified as <br /> PDDNOS (Pervasive Development Delay Not Otherwise Specified). <br /> Referrals for our services are made through Medicaid, Dept. of Health and Human <br /> Services, LME's, (Local Management Entities such as Cardinal Innovations, Alliance) <br /> schools, educational facilities and word of mouth. The Arc is among an already <br /> small network of agencies providing support and services to individuals in the <br /> community that is rapidly decreasing because of budget cuts, in spite of an ever <br /> higher and ever increasing number of people needing our assistance. <br /> g) Describe the credentials of the program manager and other key staff. (Ex. Identify Program <br /> Manager and credentials, describe training provided to volunteers, etc.) The <br /> Assistant Director of Social and Volunteer Programs is a Certified Volunteer <br /> Administrator (CVANC), credentialed in the state of North Carolina, having completed <br /> a one year course in volunteer management. The Assistant Director is also a <br /> certified C&I (Communications and Interaction Strategies) training instructor. C&I <br /> training focuses on healthy interactions with persons with IIDD. These trainings are <br /> given to all Arc paid staff and Are volunteers in addition to the on-on-one training <br /> they currently receive. Arc staff that oversee participant caseloads are certified <br /> Qualified Professionals. <br /> h) Describe the specific period over which the activities will be carried out and include an <br /> implementation timeline. <br /> All social programs and individual service are currently implemented and are offered <br /> ongoing throughout the year. <br /> i) Why is funding this program a good investment for the community? How does funding this <br /> program add value to the community? (250 words OR LESS) <br /> A growing body of research has found that the presence of social capital through <br /> creation of social networks and communities has a protective quality on health. <br /> Social capital affects health risk behavior in the sense that individuals who are <br /> embedded in a network or community rich in support, social trust, information, and <br /> norms, have resources that help achieve health goals. For example, a person who is <br /> sick with cancer may receive information, money, or moral support he or she needs <br /> to endure treatment and recover. Social capital also encourages social trust and <br /> membership. These factors can discourage individuals from engaging in risky health <br /> behaviors such as smoking and binge drinking. <br /> Experts call this social capital; I call it my personal life experience. Attached is an <br /> article I wrote for the local news that reflects on raising my son who has autism. <br /> When he was diagnosed twenty-five years ago I was given this advice that I still find <br /> pertinent today "Use every experience as a learning experience, keep your son <br /> engaged in the community with typically developing children and most importantly <br /> PROGRAM INFORMATION 1/26/2017 5:52:39 PM to c; e i o <br />