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DocuSign Envelope ID:9859FC6D-3EEB-4C7D-9891-BE11A53D9413 t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> m.) Work Statement <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 <br /> Form task force Hire coordinator <br /> Form a task force of a <br /> diverse set of food <br /> system stakeholders to <br /> Program Goal develop the Orange Hire a food council <br /> County Food Council by coordinator by <br /> January 1, 2015 that will September 30, 2016. <br /> meet monthly. <br /> Who is on the task <br /> force? <br /> Performance Measures What food system <br /> sectors do they <br /> represent? <br /> Do they meet regularly? Coordinator hired. <br /> A task force of 8 <br /> members was created <br /> representing economic <br /> development, <br /> production, food access, <br /> Program Results public health, institutions <br /> serving meals, child <br /> nutrition, and food retail. <br /> Monthly meetings to <br /> develop the council are <br /> on-going. <br /> Main Application 5/25/2016 10:30:45 AM P 1 ,1 of 26 <br />