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DocuSign Envelope ID: FOFFD659- 4159- 4D4C- 82FD- FF8E51A5A7E4 <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />Other/ Unknown 101340 01320 1 01320 <br />Total 1 4441 1 4500 1 4500 <br />These are unduplicated client numbers across all of the community education and <br />civic engagement programs_ <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 9 <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 elderly /disabled residents.) <br />• Program Goal should explain what the program is trying to achieve /accomplish. Goals are <br />statements about what the program should accomplish. (i.e. Deliver 900 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 />905 meals per day.) <br />Work Statement Chart for Program Community Education and Civic Engagement <br />Previous Year Program Results FY 16 -17 Goal: 80 %, Result: 93% <br />Current Year Estimated Results FY 17 -18 Goal: 80 %, Projected Result: 90% <br />Next Year Projected Results FY 18 -19 Goal: 80 %, Projected Result: 90% <br />PROGRAM INFORMATION 1/22/2018 5:50:18 PM Page 41 of 47 <br />