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DocuSign Envelope ID:913F749B-B9E8-4103-AF9D-A4296D01069E t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> Actual Estimated Projected <br /> 2014-2015 2015-2016 2016-2017 <br /> 2-5 classes per week 2-5 classes per week 2-5 classes per week <br /> for ten weeks, for ten weeks, for ten weeks. <br /> Program Activity 1 <br /> 80%Participants will have 80%Participants will have 90%Participants will have <br /> no new complaints during no new complaints during no new complaints during <br /> program participation. program participation_ program participation. <br /> Program Goal <br /> Performance Measures See Following Page See Following Page See Following Page <br /> Program Results 100% 80%YTID <br /> 2-5 classes per week 2-5 classes per week 2-5 classes per week <br /> for ten weeks, for ten weeks, for ten weeks- <br /> Program Activity 2 <br /> 80%Participants completing 80%Participants completing 90%Participants completing <br /> the program will demonstrate the program will demonstrate the program will demons trate <br /> a reduction in problem a reduction in problem a reduction in problem <br /> behaviors for which they behaviors for which they behaviors for which they <br /> were referred by termination, were referred by termination, were referred by termination. <br /> Program Goal <br /> Performance Measures See Following Page See Following Page See Following Page <br /> Program Results 92% 75%YTD <br /> 2-5 classes per week 2-5 classes per week 2-5 classes per week <br /> for ten weeks, for ten weeks. for ten weeks, <br /> Program Activity 3 <br /> 80%of children admitted will 80%of children admitted will 90% of children admitted will <br /> participate in a promotion participate in a promotion participate in a promotion <br /> test at the end oftheir test at the end of their test at the end oftheir <br /> term(s)and will receive the term(s)and will receive the tezw(s)and will receive the <br /> validation of new belt 'validation of new belt validation o f ew belt <br /> color/promotion, color/promotion. color/promotion. <br /> Program Goal <br /> Performance Measures See Following Page See Following Page See Following Page <br /> 86% 83%YTD <br /> Program Results <br /> 2-5 classes per week 2-5 classes per week 2-5 classes per week <br /> for ten weeks, for ten weeks, for ten weeks. <br /> Program Activity 4 <br /> 80%Participants completing 80%Participants completing 90%Participants completing <br /> the program will demonstrate the program will demonstrate the pro gram will demonstrate <br /> improvement in targeted improvement in targeted improvement in targeted <br /> skills as specified in the skills as specified in the skills as specified in the <br /> individual service plan by individual service plan by individual service plan by <br /> termination. termination, termination. <br /> Program Goal <br /> Performance Measures See Following Page See Following Page See Following Page <br /> 94% 80%YTD <br /> Program Results <br /> Program Activity S <br /> Program Goal <br /> Performance Measures <br /> Program Results <br /> Main Application 1/25/2016 10:16:09 AM Page 14 of 20 <br />