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DocuSign Envelope ID: E8534F48-BEAD-4670-896E-4E8718B819E1 t A - continued <br /> Provider's MAIN APPLICATIONlication <br /> m.) Work Statement APPLICATION <br /> This form is used to document program activities, program goals, performance measures, <br /> and actual results. (Add more rows as needed) If this is a new program, you will only <br /> document the projected information. <br /> • Program Activities should outline major activities the agency implements to accomplish its <br /> program goals. <br /> • Program Goal should explain what the program is trying to achieve/accomplish. Goals are <br /> statements about what the program should accomplish. SMART Goals <br /> • Performance Measures describe how you will evaluate the degree in which you achieved <br /> 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 Estimated Projected <br /> 2014-15 2015-16 2016-17 <br /> Program Activity 1 Afterschool Arts Afterschool Arts Afterschool Arts <br /> Immersion (AAI) Immersion (AAI) Immersion(AAI) <br /> Offer AAI to 40 Offer AAI to 55 students Offer AAI to 70 students <br /> Program Goal students monthly, monthly, plus Youth Art monthly, plus Youth Art <br /> plus Youth Art Classes Classes <br /> Performance Measures AAI &Class AAI & Class AAI & Class <br /> re•istrations re.istrations re.istrations <br /> Served 40 AAI youth Serve 55 AAI youth Serve 70 AAI youth <br /> Program Results monthly & 240 monthly & 240 through I monthly & 240 through <br /> throughyrouth classes _youth classes youth classes <br /> Program Activity 2 Arts in Education Arts in Education Arts in Education <br /> Residencies (AIE) Residencies (AIE) Residencies (AIE) <br /> Hold 10 AIE artist Hold 12 AIE residencies Hold 14 AIE residencies <br /> Program Goal 1 residencies in Title 1 in Title 1 Orange Co in Title 1 Orange Co <br /> Orange Co Schools Schools for 1400 Schools for 1400 <br /> Performance Measures Artist contracts, class Artist contracts, class Artist contracts, class <br /> records, content tests records, content tests records, content tests <br /> Program Results Held 16 residencies Offer 12 residencies for Offer 14 residencies for <br /> for 1455 students 1400 students 1400 students <br /> Program Activity 3 School Shows School Shows School Shows <br /> - <br /> Present 70 School Present 75 School Present 80 School <br /> Schools at the Schools at the Schools at the <br /> Program Goal ArtsCenter & in area ArtsCenter& in area ArtsCenter & in area <br /> schools that enhance schools that enhance schools that enhance <br /> NC curricula NC curricula NC curricula <br /> Main Application 1/21/2016 4:03:32 PM 113ago 14 of 2 * <br />