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DocuSign Envelope ID:A6B9A80E-25C6-439A-A77D-6C8B04CDDFE2 XHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> 7. Program Activity Name Parents will report back on the positive effects our <br /> program had on their child(ren) <br /> Program Goal Parents will answer and submit a survey about how <br /> well the program affected their child(ren)'s connection <br /> to and knowledge about nature <br /> Performance Measures We will use SurveyMonkey to capture responses to <br /> show how big an impact our program had on their <br /> child(ren)'s connection and interest in nature since <br /> participating in the program <br /> Previous Year Program Results Two parents answered our survey. Three parents <br /> verbally shared how important the program was for <br /> their kids and hoped we would continue it the following <br /> year <br /> Current Year Estimated Results N/A <br /> Next Year Projected Results 15 to 20% of the parents will submit the survey showing <br /> positive changes in their children's knowledge and <br /> connection to nature if they receive incentive money <br /> 1/12/2017 2:56:42 PM I:' 18 •t 29 <br />