2016-619-E Finance - Planned Parenthood South Atlantic - Outside Agency Performance Agreement

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DocuSign Envelope ID: CB0C1343-06EB-4BE7-9AF6-62EE77BD69FE t A - continued Provider's Outside Agency Application MAIN APPLICATION m.) Work Statement This form is used to document program activities, program goals, performance measures, and actual results. (Add more rows as needed) If this is a new program, you will only document the projected information. • Program Activities should outline major activities the agency implements to accomplish its program goals. • Program Goal should explain what the program is trying to achieve/accomplish. Goals are statements about what the program should accomplish. SMART Goals • Performance Measures describe how you will evaluate the degree in which you achieved the stated goals. • Actual Program Results use program results to indicate the actual measureable achievement of goals. If goals were not met, please explain. Actual Estimated Projected 2014-2015 2015-2016 2016-2017 Using the Becoming a Using the Becoming a Using the Becoming a Responsible Teen Responsible Teen curriculum, Responsible Teen curriculum, curriculum,provide a diverse provide a diverse group of provide a diverse group of group of teens with training teens with training around teens with training around Program around issues of sexuality, issues of sexuality,healthy issues of sexuality,healthy Activity 1 healthy relationships, relationships,abstinence and relationships,abstinence and abstinence and contraceptive contraceptive options, contraceptive options, options,communication and communication and decision- communication and decision- decision-making skills and making skills and goal making skills and goal goal setting. setting. setting. Recruit at least 15 teens Recruit at least 15 teens(ages Recruit at least 15 teens(ages (ages 14— 18).All 14— 18).All participants will 14— 18).All participants will Program participants will demonstrate demonstrate at least a demonstrate at least a Goal at least a 10%increase 10%increase in knowledge 10%increase in knowledge in knowledge about about preventing pregnancy about preventing pregnancy preventing pregnancy and and STIs. and STIs. STIs. PPSAT will measure the PPSAT will measure the PPSAT will measure the competency levels of competency levels of competency levels of participants through pre-and participants through pre-and participants through pre-and post-program tests.The pre- post-program tests.The pre- post-program tests.The pre- test will be administered at test will be administered at test will be administered at Performance the beginning of the first the beginning of the first the beginning of the first session,and the post-test will session,and the post-test will session,and the post-test will Measures be administered immediately be administered immediately be administered immediately following the conclusion of following the conclusion of following the conclusion of the program.Measurable the program.Measurable the program.Measurable outcomes include a change outcomes include a change in outcomes include a change in in knowledge,attitudes,and knowledge, attitudes,and knowledge,attitudes,and behaviors. behaviors. behaviors. Program 15 participant,7%increase- Results students entered with a high TBD TBD baseline understanding Program Peer-educators will work Peer-educators will work Peer-educators will work Activity 2 within their schools and within their schools and within their schools and communities to disseminate communities to disseminate communities to disseminate to others the information to others the information they to others the information they Main Application 1/21/2016 18:35:26 a1/p1 Page 15 of 2 "