Orange County NC Website
DocuSign Envelope ID:913F749B-B9E8-4103-AF9D-A4296D01069E <br /> EXHIBIT `B" <br /> Scope of Services—FY 2016-17 <br /> Outside Agency Performance Agreement <br /> Agency Name: Ligo Dojo of Budo Karate <br /> Program Name: <br /> Funding Award: $2,000 <br /> Outline how the agency will spend Orange County's funding award. <br /> Expense Description Amount <br /> Facility Rent and Program Support Expenses 2,000 <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 <br /> below,by June 30,2016. <br /> • Instills discipline, creases self-esteem, and physical and mental health in referred, disadvantaged <br /> youth through martial arts training. <br /> • Youth attend 10 or more weeks of karate training—two or more times per week. <br /> • Diverse training environment for youth and families <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, only (all Towns and municipalities). If you use percentages, you must also provide the total number of participants <br /> within that measure's description or for an earlier performance measure. <br /> Performance Measures Anticipated <br /> Results <br /> Track student attendance online 100% <br /> Participation successful with no new complaints in the 12 month following completion 90% <br /> Participants demonstrating a reduction in problem behaviors for which they were referred 90% <br /> Participants will demonstrate improvement in targeted skills as specified in the indvididual 90% <br /> service plan. <br /> DocuSigned by: <br /> Certified by: �� Title: executive di rector Date: 10/27/2016 <br /> 15A tF654-RAdk4 C 7... <br /> (Provider's Signature) <br />