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DocuSign Envelope ID:A3E0213B-1DCD-43A3-9C41-A2EC55A8CA94 t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> Actual 2015 Estimated 2016 Projected 2017 <br /> 2014-2015 2015-2016 2016-2017 <br /> Individuals or households Individuals or households <br /> Individuals or households needing food assistance needing food assistance <br /> are refered to the are refered to the are refered to the <br /> Samaritan Relief Ministry Samaritan Relief Ministry Samaritan Relief Ministry <br /> by Orange County by Orange County by Orange County <br /> agencies and pastors of agencies and pastors of agencies and pastors of <br /> OCIM member OCIM member OCIM member <br /> Program Activity 1 congregations. congregations. congregations. <br /> In 2015, 11,500 individuals 10,000 qualified 10,000 of qualified <br /> will receive up to one referrals/individuals will referrals/individuals will <br /> week of groceries a receive up to one week of receive up to one week of <br /> maximum of six times in groceries a maximum of groceries a maximum of <br /> Program Goal 12-months. seven times in 12-months. seven times in 12-months. <br /> A database of clients A database of clients A database of clients <br /> served is maintained on served is maintained on served is maintained on <br /> each household,detailing each household, detailing each household, detailing <br /> when and what assistance when and what assistance when and what assistance <br /> has been requested and has been requested and has been requested and <br /> Performance Measures given. given. given. <br /> 100% of qualified referrals <br /> received food, providing <br /> 9,497 food insecure <br /> individuals with a week's 100%of qualified referrals 100% of qualified referrals <br /> worth of groceries. The will receive food,thus will receive food,thus <br /> anticipated increase in providing 10,000 food providing 10,000 food <br /> referrals did not occur as insecure individuals with a insecure individuals with a <br /> Program Results anticipated. week's worth of groceries. week's worth of groceries. <br /> Households are referred Households are referred Households are referred <br /> to the Samaritan Relief to the Samaritan Relief to the Samaritan Relief <br /> Ministry by Orange Ministry by Orange Ministry by Orange <br /> County agencies and County agencies and County agencies and <br /> pastors of OCIM member pastors of OCIM member pastors of OCIM member <br /> Program Activity 2 congregations. congregations. congregations. <br /> 130 households will 130 households will 130 households will <br /> receive emergency receive emergency receive emergency <br /> financial assistance to be financial assistance to be financial assistance to be <br /> able to retain housing or able to retain housing or able to retain housing or <br /> utilities an additional 30 utilities an additional 30 utilities an additional 30 <br /> Program Goal days. days. days. <br /> A database of clients A database of clients A database of clients <br /> served is maintained on served is maintained on served is maintained on <br /> Main Application each househon,W iF rli6gg: I1liicA hold, detailing reaghjhpu5W„olcb cjet it g <br /> when and what assistance when and what assistance when and what assistance <br /> has been requested and has been requested and has been requested and <br />