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Page 20 of 23 <br />x Program Activities should outline major activities the agency implements to <br />accomplish its program goals. (i.e. Deliver meals to elderly/disabled residents.) <br />x Program Goal should explain what the program is trying to achieve/accomplish. <br />Goals are statements about what the program should accomplish. (i.e. Deliver <br />100 meals per day, Monday-Friday.) <br />x Performance Measures describe how you will evaluate the degree in which you <br />achieved the stated goals. (i.e. Will track the number of meals delivered each <br />day.) <br />x 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 <br />average of 105 meals per day.) <br /> <br />Work Statement Chart for Program: Home Preservation <br />Program Activity Name Home Preservation <br />Program Goal Provide 30 interior/exterior home repairs for low- and <br />moderate-income homeowners in Orange County. <br />Performance Measures <br />By June 30, 2018, complete 30 interior/exterior repair <br />projects for low- and moderate-income homeowners in <br />Orange County. <br />Previous Year Program Results 31 home repairs completed countywide <br />Current Year EstimatedResults 30 home repairs completed countywide <br />Next Year Projected Results 30 home repairs completed countywide <br /> <br />p) Program Budget <br /> <br />1. Submit your program budget. You may complete the provided template <br />(separate xls file) or you may submit your own budget file (as long as it <br />contains the same information, in the same format, as requested in the <br />provided template). Program Budgets are required to define budget <br />amounts for the previous program year, current program year, and next <br />program year for the following categories: <br />x Revenues <br />o Private Donations <br />o Program Generated Revenue <br />o Local Government Grants <br /> Carrboro Human Services <br /> Carrboro Other <br /> Chapel Hill Human Services <br /> Chapel Hill Other (DO NOT include CDBG funding here) <br /> Orange County Human Services <br /> Orange County Other (DO NOT Include HOME funding here) <br />o Other Government Grants <br /> Triangle United Way <br /> State Government <br /> Federal Government (CDBG/HOME/etc.) <br /> Private Foundation Grants <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />DocuSign Envelope ID: 1263366F-0902-4D24-AE16-FC2EBB866669