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DocuSign Envelope ID: E546BA93-2CAA-4121-B91A-3F2107563B4D <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Current Year Estimated Results N/A <br /> Next Year Projected Results 1. At least 20 relevant stakeholders engaged in the initiative <br /> Program Activity Name MBK Mentor and Mentee recruitment, training, and screening <br /> Program Goal To increase#of mentors and mentees participating in MBK <br /> related activities <br /> Performance Measures 1. � ���...._ .....�. <br /> #of mentors and mentees participating in MBK related <br /> activities <br /> Previous Year Program Results N/ _....................__......_, <br /> Current Year Estimated Results N/A <br /> Next Year Projected Results 1. At least 100 mentors and 100 mmmITITIT <br /> mentees participating in MBK <br /> related activities <br /> Program Activity Name Saturday Leadership Academy and Team Mentoring <br /> Program Goal To increase#of mentees participating in MBK related activities <br /> Performance Measures 1. % increase of students that enroll in at least one college-level <br /> course(when eligible) <br /> 2. °A° increase of students that have satisfactory school behavior <br /> (good attendance records, no suspensions, etc.) <br /> 3. % increase of students that improve in problem subjects <br /> 4. % increase of students that seek leadership roles in their <br /> extracurricular activities <br /> 5. % increase of students that complete at least 8 hours of <br /> community service per school year <br /> 6. % increase of students that are aware of the importance of <br /> academics and good decision making <br /> 7. % increase of students that are aware of 21st Century skills <br /> and how they connect with success <br /> 8. % increase of mentors that report satisfactory relationships in <br /> monthly contact reports <br /> 9. % increase of mentors that gain a better understanding of their <br /> individual student's needs and tailors support based on needs <br /> Previous Year Program Results N/A <br /> Current Year Estimated Results N/A <br /> Next Year Projected Results 1. 10% increase of students that enroll in at least one college- <br /> level course (when eligible) <br /> 2. 10% increase of students that have satisfactory school <br /> behavior(good attendance records, no suspensions, etc.) <br /> 3. 10% increase of students that improve in problem subjects <br /> 4. 10% increase of students that seek leadership roles in their <br /> extracurricular activities <br /> 5. 10% increase of students that complete at least 8 hours of <br /> community service per school year <br /> 6. 10% increase of students that are aware of the importance of <br /> academics and good decision making <br /> 7. 10% increase of students that are aware of 21st Century skills <br /> and how they connect with success <br /> 8. 10% increase of mentors that report satisfactory relationships <br /> in monthly contact reports <br /> 9. 10% increase of mentors that gain a better understanding of <br /> their individual student's needs and tailors support based on <br /> needs <br /> ty Tour <br /> Program Activity Name �Step to the Future Spring Break College ToM --µIT- mmmmITITITIT mmmIT-IT�ITm <br /> Program Goal To increase#of students that visit at least one college campus <br /> annual) <br /> Performance Measures 1. #of students that visit at least one college campus annually <br /> PROGRAM INFORMATION 1/31/2017 3:24:15 PM Prigo 1°:, 1m <br />