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DocuSign Envelope ID:ODO4B5DD-363F-41 FF-BD24-FAD291133B51 <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> 3. Program Activity Name Newsletter <br /> Program Goal Electronic newsletter to entire listsery on a monthly basis <br /> Performance Measures Track electronic newsletters <br /> Previous Year Program Results 0 newsletters <br /> Current Year Estimated 7 newsletters <br /> Results <br /> Next Year Projected Results 12 monthly newsletters <br /> 4. Program Activity Name BUYcotts <br /> Program Goal Organize quarterly BUYcotts on behalf of living wage employers <br /> Performance Measures Track Number of BUYcotts <br /> Previous Year Program Results 1 (Vimala's Curryblossom Café) <br /> Current Year Estimated 3 (Mystery Brewing, Greenbridge Condominiums for benefit concert, <br /> Results plus one more) <br /> Next Year Projected Results 4 BUYcotts <br /> Program Activity Name Raise Wages <br /> Program Goal Increase number of living wage employers raising wages to qualify for <br /> certification to 25 <br /> Performance Measures Applications from and conversations with living wage employers and <br /> sometimes employees(when tipped) <br /> Previous Year Program Results 9 out of the total 70 living wage employers lifted wages to qualify <br /> Current Year Estimated 17 out of the total 135 living wage employers lift wages to qualify <br /> Results <br /> Next Year Projected Results 25 out of the total 200 living wage employers lift wages to qualify <br /> DO NOT SUBMIT THIS PAGE 12/15/2016 9:57:17 AMIII'age 26 1r 32 <br />