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DocuSign Envelope ID: 557EOBA8 -OFDF- 4943- B10E- 6AB96D651F4B <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, 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 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 Rental Property Management <br />1. Program Activity Name <br />Increase number of rental units (currently have 42 units) <br />Program Goal <br />Increase by three units <br />Performance Measures <br />Document new rental units on spreadsheet <br />Previous Year Program Results <br />3 <br />Current Year Estimated Results <br />3 <br />Next Year Projected Results <br />2 <br />2. Program Activity Name <br />Housing for the most vulnerable population: i.e. <br />homeless, disabled, and veteran populations_ <br />Program Goal <br />3 <br />Performance Measures <br />Collaborate with other agencies to reach these <br />populations <br />Previous Year Program Results <br />4 <br />Current Year Estimated Results <br />4 <br />Next Year Projected Results <br />3 <br />3. Program Activity Name <br />Expedient unit turnover <br />Program Goal <br />Maintain 5% vacancy or less of online units <br />Performance Measures <br />Chart monthly vacancies <br />Previous Year Program Results <br />98% <br />Current Year Estimated Results <br />95% or less <br />Next Year Projected Results <br />95% or less <br />4. Program Activity Name <br />Complete annual housing inspections <br />Program Goal <br />Complete 90% of inspections <br />Performance Measures <br />Document on HQS <br />Previous Year Program Results <br />100% <br />Current Year Estimated Results <br />95% <br />Next Year Projected Results <br />95% <br />PROGRAM INFORMATION 1/22/2018 3:45:38 PM P a g e 1 8 o f 2 2 <br />