Orange County NC Website
DocuSign Envelope ID: CC5DDEFF- F35B- 45F1- AD01- 4586504D8AF6 <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <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, <br />and 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 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 Advocate Program <br />1. Program Activity Name <br />Assisting homeless and near - homeless individuals to gain jobs <br />Program Goal <br />CEF Advocates will assist 140 homeless or near - homeless <br />individuals to gain employment, through one -on -one support in <br />resumes, job applications, interview preparation, employer <br />relationships, and connections to supportive community resources <br />Performance Measures <br />Assess employment status upon intake and document changes in <br />employment status through weekly meetings and regular follow -up <br />with members. <br />Previous Year Program Results <br />116 members gained employment <br />Current Year Estimated Results <br />At least 120 members will gain employment <br />Next Year Projected Results <br />At least 120 members will gain employment <br />2. Program Activity Name <br />Enabling homeless and near - homeless individuals to secure stable <br />housing <br />Program Goal <br />CEF Advocates will assist at least 80 homeless or near - homeless <br />individuals to secure housing, through assistance with searching for <br />housing, negotiating with landlords, navigating affordable housing <br />resources, accessing Rapid Rehousing assistance, and securing <br />support for move -in costs. <br />Performance Measures <br />Assess the housing status upon intake and document changes in <br />housing status, determined through regular updates and continued <br />follow -up with members <br />Previous Year Program Results <br />86 members secured housing <br />Current Year Estimated Results <br />At least 80 members will secure housing <br />Next Year Projected Results <br />At least 80 members will secure housing <br />3. Program Activity Name <br />Supporting homeless and low- income individuals in successfully <br />reaching personal savings goals <br />Program Goal <br />At least 90 members will achieve 25% of their personal savings <br />goal or greater. Savings goals are often long -term goals, and 25% <br />represents a significant step for low- resource households towards <br />PROGRAM INFORMATION 1/22/2018 6:35:06 PM Page 20 of 25 <br />