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ORANGE COUNTY OUTSIDE AGENCY FUNDING <br />APPLICATION SCORECARD <br />• <br />Human Services Advisory Commission Member: <br />Agency Name <br />Program for which funding is being sought <br />I. What is the program's MISSION? <br />a. Program purpose and description fit <br />organization's mission statement. <br />b. Agency/program engages in coordination and <br />collaboration activities within the community <br />Section I — Agency <br />Overview (1) <br />Section I — Agency <br />Overview (4) <br />5 <br />10 <br />c. Agency /program makes use of community Section I — Agency <br />volunteers. Overview (7) 5 <br />TOTAL SCORE FOR MISSION 20 <br />•II. Who is the program's CUSTOMER and what does the customer value? <br />a. Primary customer /program participant is Section II — D <br />consistent with the agency /program's mission (Program 5 <br />Beneficiary <br />Characteristics) <br />b. Client data suggests that the agency /program Section H — D <br />supports the Human Services Advisory 5 <br />Commission value of reaching diverse <br />constituencies. (gender, ethnicity, age, <br />geography, income level) <br />c. Client data suggests appropriate growth in the Section II — D <br />program over time. 5 <br />Ll <br />TOTAL SCORE FOR CUSTOMER <br />15 <br />15 <br />