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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 /> Recruit up to 10 <br /> members for up to 5 <br /> workgroups who are <br /> diverse in age, gender, <br /> Program Goal race, socio- <br /> To develop a demographic status, <br /> Collaborative and geographical <br /> Agreement and a residence by November <br /> membership application. 30, 2016. <br /> Number of workgroup <br /> Collaborative members recruited. <br /> Agreement created. <br /> Performance Measures Number of workgroups <br /> Membership application formed. <br /> created and <br /> disseminated. Diversity of workgroups. <br /> A Collaborative <br /> Agreement was created <br /> (see attachment) <br /> A membership <br /> Program Results application was created <br /> in both English and <br /> Spanish and is currently <br /> being widely <br /> disseminated (see <br /> attachment). <br /> Program Activity 4 Hold two community <br /> forums Adopt an action plan <br /> Develop a <br /> comprehensive food <br /> Hold two countywide systems action plan that <br /> Program Goal community forums to presents priorities for <br /> solicit input and the council and <br /> feedback on the creation workgroups by March <br /> of the food council. 31, 2016. <br /> Action plan adopted. <br /> Performance Measures Forums held. <br /> Number and nature of <br /> Number of attendees. priorities set. <br /> Main Application 5/25/2016 10:30:45 AM 0'` 16 of 26 <br />