2018-450-E Finance - Table outside agency agreement

Browse Search

DocuSign Envelope ID: 2AC82140 -8F6C- 4125 - 8743- OB8594E61466 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION Work Statement o) Complete the Work Statement Chart to describe the work to be performed. This chart is used to document program activities, program goals, performance measures, and actual results. (Add more rows as needed) If this is a new program, you will only document the projected information. Every program is required to have AT LEAST 1 Program Activity, which should be SMART (,2pecific, Measurable, Achievable, Relevant, and _Time-bound. Click on SMART Goals to learn more. • Program Activities should outline major activities the agency implements to accomplish its program goals. (i.e. Deliver meals to elderly /disabled residents.) • Program Goal should explain what the program is trying to achieve /accomplish. Goals are statements about what the program should accomplish. (i.e. Deliver 100 meals per day, Monday- Friday.) • Performance Measures describe how you will evaluate the degree in which you achieved the stated goals. (i.e. Will track the number of meals delivered each day.) • Actual Program Results use program results to indicate the actual measureable achievement of goals. If goals were not met, please explain. (i.e. Delivered an average of 105 meals per day.) Work Statement Chart for Program Weekend Meal Backpack Program 1. Program Activity Name Feeding hungry kids Program Goal Partner with local schools, after school centers, non - profits, Town Housing Departments, etc. to provide food weekly to local kids through our Weekend Meal Backpack Program. Performance Measures TABLE maintains a Current Numbers Sheet of children we serve every single week. We will use this to determine how many kids are served. Previous Year Program Results Provided up to 555 kids with healthy food for 34 weeks of the school year. Current Year Estimated Results Provide up to 625 kids with healthy food for 34 weeks of the school ear. Next Year Projected Results Provide up to 700 kids with healthy food for 34 weeks of the school year. 2. Program Activity Name Help kids succeed Program Goal Provide nutritious foods that kids need every week as well as reinforce health and academic habits using our Food for Thought Worksheets (academic and nutrition education worksheets that go home monthly with our kids). Performance Measures TABLE executes surveys every spring with parents of children that TABLE serves. Previous Year Program Results 51% of kids experience at least one additional benefit (some other academic, health, nutritional, personal, physical, or social benefit as a result of receiving the nutrition they need every week. • Children always tried new food 38% of the time before receiving healthy food from TABLE. After receiving weekly food from TABLE, children always tried new foods 62% of the time (24% more). • Children always ate healthy foods 59% of the time compared to 74% after participating in TABLE's WMBP 16% more). PROGRAM INFORMATION 1/23/2018 3:44:19 PM P a g e 16 of 2 1