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DocuSign Envelope ID:ODO4B5DD-363F-41 FF-BD24-FAD291133B51 <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Chapel Hill Public Housing <br /> Town of Chapel Hill (Non-Public Housing) <br /> Town of Carrboro <br /> Town of Hillsborough <br /> City of Mebane(Orange County) <br /> Orange County(Outside Municipalities) <br /> Total 6510 7200 7800 <br /> Work Statement <br /> m) Complete the Work Statement Chart to describe the work to be performed. <br /> This chart 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. Every program is required to have AT LEAST 1 Program <br /> Activity, which should be SMART (Specific, Measurable, Achievable, Relevant, and Time- <br /> bound. Click on SMART Goals to learn more. <br /> • Program Activities should outline major activities the agency implements to accomplish its <br /> program goals. (i.e. Deliver meals to elderly/disabled residents.) <br /> • Program Goal should explain what the program is trying to achieve/accomplish. Goals are <br /> statements about what the program should accomplish. (i.e. Deliver 100 meals per day, <br /> Monday-Friday.) <br /> • Performance Measures describe how you will evaluate the degree in which you achieved <br /> the stated goals. (i.e. Will track the number of meals delivered each day.) <br /> • Actual Program Results use program results to indicate the actual measureable <br /> achievement of goals. If goals were not met, please explain. (i.e. Delivered an average of <br /> 105 meals per day.) <br /> Work Statement Chart Orange County Living Wage <br /> 1. Program Activity Name Certifications <br /> Program Goal Grow the number of living wage employers in Orange County to 200 <br /> Performance Measures Certifications noted in OCLW database,website, brochures, etc. <br /> Previous Year Program Results 70 living wage employers <br /> Current Year Estimated 135 employers <br /> Results <br /> Next Year Projected Results 200 living wage employers <br /> 2. Program Activity Name Social Media <br /> Program Goal Raise OCLW's Social Media Outlets to 4 <br /> Performance Measures Facebook, Instagram,Twitter,YouTube in production <br /> Previous Year Program Results 1 outlet utilized (Facebook) <br /> Current Year Estimated 2 outlets utilized (Facebook, Instagram) <br /> Results <br /> Next Year Projected Results All 4 outlets utilized <br /> DO NOT SUBMIT THIS PAGE 12/15/2016 9:57:17 AMII'age 25 •f 32 <br />