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DocuSign Envelope ID: B55679E1-82FB-4A06-BBCF-6BC218E4CADA t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> Work Statement <br /> This form is used to document program activities, program goals, performance <br /> measures, and actual results. (Add more rows as needed) If this is a new program, you <br /> will only document the projected information. <br /> • Program Activities should outline major activities the agency implements to accomplish <br /> its program goals. <br /> • Program Goal should explain what the program is trying to achieve/accomplish. Goals <br /> are statements about what the program should accomplish. SMART Goals <br /> • Performance Measures describe how you will evaluate the degree in which you <br /> achieved the stated goals. <br /> • Actual Program Results use program results to indicate the actual measureable <br /> achievement of goals. If goals were not met, please explain. <br /> Actual 2014-15 Estimated 2015-2016 Projected 2016-2017 <br /> Program Activity 1 Receive applications for <br /> financial aid to attend camp <br /> Program Goal Award 40 full camp scholarships to <br /> Orange County residents <br /> Performance Measures Evaluate how many scholarships were <br /> requested from Orange county <br /> families from our registrations <br /> Program Results 40 full scholarships granted <br /> Program Activity 2 Offer camps that connect students to <br /> nature <br /> Program Goal <br /> Deepen inborn sense of wonder <br /> Performance Measures Counselors and/or parents will listen <br /> to questions campers have about <br /> nature and give feedback to staff at <br /> end of camp. <br /> Program Results Campers will be curious about <br /> something they are drawn to in <br /> nature and ask questions about it <br /> Program Activity 3 Teach campers about flora and fauna <br /> of our area,and/or outdoor skills <br /> (using field guides,survival skills) <br /> Program Goal Campers will feel more confident in <br /> knowledge of local flora and fauna <br /> and/or outdoor skills <br /> Page. 15 of 23 <br />