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DocuSign Envelope ID:A6B9A80E-25C6-439A-A77D-6C8B04CDDFE2 XHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> confirm camper attendance on sign in sheet <br /> Previous Year Program Results N/A <br /> Current Year Estimated Results N/A <br /> Next Year Projected Results 1 family per week receives transportation funding <br /> 10. Program Activity Name Teach campers about flora and fauna of our area, <br /> and/or outdoor skills (using field guides, survival skills) <br /> Program Goal Campers will feel more confident in knowledge of local <br /> flora and fauna and/or outdoor skills <br /> Performance Measures Counselors will observe campers sharing what they <br /> have learned and share it in a summary at the end of <br /> camp. <br /> Previous Year Program Results N/A <br /> Current Year Estimated Results Counselors reported a 32% average of students <br /> showing a drastic increase in knowledge of flora, fauna, <br /> and outdoor skills <br /> Next Year Projected Results 36% of campers will show increase in knowledge of <br /> flora, fauna, and outdoor skills <br /> 11. Program Activity Name Offer camps that connect students to nature <br /> Program Goal <br /> Deepen inborn sense of wonder <br /> Performance Measures Campers will be curious about something they are <br /> drawn to in nature and ask questions about it. <br /> Counselors will record observations. <br /> Previous Year Program Results N/A <br /> Current Year Estimated Results Counselors reported a 32% average of campers <br /> showing a large improvement in connecting with nature <br /> Next Year Projected Results 36% of campers will show an improved connection with <br /> nature <br /> 12. Program Activity Name Parents will report back on the positive effects our <br /> program had on their child(ren) <br /> Program Goal Parents will submit a completed survey evaluating their <br /> child(ren)'s connection and interest in nature since <br /> participating in the program. <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 <br /> Current Year Estimated Results 12% surveys submitted, 99% positive results <br /> Next Year Projected Results 20% surveys submitted, 99% positive results <br /> 1/12/2017 2:56:42 PM II I:' 26 ,r 29 <br />