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DocuSign Envelope ID:80528E57-64B2-4BCE-A558-776533408604 XHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Work Statement Chart for Program Heritage Education <br /> 1. Program Activity Heritage education: traveling trunks; outreach; Fairview <br /> Name Art/Park; Hillsborough History Day; special events. <br /> Program Goal Deliver programming to 2600 OC school age children <br /> and families <br /> Performance Measures Will track the number of students served <br /> Previous Year Program 2015 result of 2500 students served was lower than <br /> Results estimated at 2047, due to water damage/museum <br /> closure. <br /> Current Year Estimated 2500 students served <br /> Results <br /> Next Year Projected 2600 students served <br /> Results <br /> 2. Program Activity <br /> Name <br /> Program Goal <br /> Performance Measures <br /> Previous Year Program <br /> Results <br /> Current Year Estimated <br /> Results <br /> Next Year Projected <br /> Results <br /> 3. Program Activity <br /> Name <br /> Program Goal <br /> Performance Measures <br /> Previous Year Program <br /> Results <br /> Current Year Estimated <br /> Results <br /> Next Year Projected <br /> Results <br /> 4. Program Activity <br /> Name <br /> Program Goal <br /> Performance Measures <br /> Previous Year Program <br /> Results <br /> Current Year Estimated <br /> Results <br /> Next Year Projected <br /> Results <br /> PROGRAM INFORMATION 2/9/2017 1:10:02 PM Page 0 o If 3 <br />