Orange County NC Website
DocuSign Envelope ID: FOFFD659- 4159- 4D4C- 82FD- FF8E51A5A7E4 <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />City of Mebane (Orange County) <br />Orange County (Outside Municipalities) <br />Other /Unknown <br />30 <br />30 <br />30 <br />18 <br />30 <br />30 <br />591373 <br />601347 <br />601347 <br />Total 1 1217 1 1220 1 1220 <br />These are unduplicated client numbers across the programs in domestic violence <br />crisis services. <br />Work Statement <br />o) Complete the Work Statement Chart to describe the work to be performed. <br />This chart is used to document program activities, program goals, performance measures, <br />and actual results. (Add more rows as needed) If this is a new program, you will only <br />document the projected information. Every program is required to have AT LEAST 1 <br />Program Activity, which should be SMART (Specific, Measurable, Achievable, Relevant, and <br />Time - bound. Click on SMART Goals to learn more. <br />• Program Activities should outline major activities the agency implements to accomplish its <br />program goals. (i.e. Deliver meals to elderfyldisabled residents.) <br />• Program Goal should explain what the program is trying to achievelaccomplish. Goals are <br />statements about what the program should accomplish. (i.e. Deliver 100 meals per day, <br />Monday - Friday.) <br />• Performance Measures describe how you will evaluate the degree in which you achieved <br />the stated goals. (i.e. Will track the number of meals delivered each day.) <br />• Actual Program Results use program results to indicate the actual measureable <br />achievement of goals. If goals were not met, please explain. (i.e. Delivered an average of <br />105 meals per day.) <br />Work Statement Chart for Program: Domestic Violence Crisis Services <br />Performance Measures All clients who meet in person with crisis response staff or <br />attend support group are asked to fill out a survey and <br />responses are tracked. <br />Previous Year Program Results FY 16 -17 Goal: 85 %, Result: 95% <br />Current Year Estimated Results FY 17 -18 Goal: 85% Projected Result: 95% <br />Next Year Projected Results FY 18 -19 Goal: 85% Projected Result. 95% <br />Court Advocacy: Provide court services to victims of <br />domestic violence to reduce the trauma and confusion that <br />clients exoerience in the court process. <br />I Program Goal 85% of clients will report feeling — supported by court <br />PROGRAM INFORMATION 1/22/2018 5:50:18 PM Page 21 of 47 <br />