Orange County NC Website
DocuSign Envelope ID: D09F6D26-5288-40CE-99DB-DBA8FE0850B6 <br /> ATTACHMENT"A" <br /> Outside Agency Performance Agreement <br /> Scope of Services <br /> Agency Name: Community Empowerment Fund <br /> Program Name: Integrated Services Center <br /> Funding Award: $12,000 <br /> Outline how the agency will spend Orange County's funding award. <br /> Expense Description Amount <br /> Rent $12,000 <br /> Program Services <br /> For assistance with this or the following section, please reference the Exhibit A instructions and example, located within the <br /> contract and reporting memorandum.Outline the major activities the agency will employ to attain the Anticipated Outcomes below, <br /> by June 30,2016. <br /> See Attachment B, Integrated Services Center Information Sheet <br /> Anticipated Outcomes <br /> The Anticipated Results column must include quantifiable results in the form of number of persons/units served within Orange <br /> County,onlv(all Towns and municipalities).If you use percentages,you must also provide the total number of participants within <br /> that measure's description or for an earlier performance measure. <br /> Performance Measures Anticipated <br /> Results <br /> At least 125 members will gain employment 125 <br /> At least 40 households will transition into independent housing 40 <br /> At least 6 partner agency programs will engage in the pilot of the Integrated Services Center 6 <br /> At least 25 members will gain access to mental health services through the Integrated Services 25 <br /> Center <br /> DocuSigned by: <br /> Certified by: , Uit sf Title: Maggie west Date: 9/11/2015 <br /> 96C92B63621445B... <br /> Community Empowerment Fund <br /> Orange County Outside Agency Performance Agreement <br /> Rev. 8115 <br />