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DocuSign Envelope ID: 571863E8-F892-43F0-B73F-4AB062ACBOBF XHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Next Year Projected 35% <br /> Results <br /> 2. Program Activity Specialized music therapy program that teaches <br /> Name communication and social/emotional skill building <br /> Program Goal Increase students' ability to self-regulate their behaviors <br /> Performance Measures The number of students who are able to use self- <br /> regulation/coping strategies to decrease the number of <br /> emotional or physical outbursts. <br /> Previous Year Program 40% <br /> Results <br /> Current Year Estimated 45% <br /> Results <br /> Next Year Projected 35% <br /> Results <br /> 3. Program Activity Specialized music therapy program that teaches <br /> Name communication and social/emotional skill building <br /> Program Goal Increase students ability to initiate social communication <br /> Performance Measures The number of students who will initiate verbal or non- <br /> verbal social conversation with peers. <br /> Previous Year Program 32% <br /> Results <br /> Current Year Estimated 30% <br /> Results <br /> Next Year Projected 30% <br /> Results <br /> 4. Program Activity Specialized music therapy program that teaches <br /> Name communication and social/emotional skill building <br /> Program Goal Increase students ability to self-advocate <br /> Performance Measures Number of students who are able to ask for help <br /> Previous Year Program 29% <br /> Results <br /> Current Year Estimated 33% <br /> Results <br /> Next Year Projected 30% <br /> Results <br /> DO NOT SUBMIT THIS PAGE 1/26/2017 11:10:15 AMII'age 26 lr 31 <br />