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DocuSign Envelope ID: 3F05AA6E -4F62- 4678- 8F07- 34D6E1679E9A <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />Total 1 8,300 9,000 7,887 <br />** Our partner agencies self- report on demographic information for program beneficiaries. <br />Data on geographic location is not shared with us. <br />Work Statement <br />o) Complete the k State to describe the work to be performed. <br />Work Statement Chart fo ogram: Donation Station <br />1. Program Activity Name <br />Program Goal <br />Program Goal: Ensure that fresh food is regularly <br />purchased from local farmers and collected to donate to <br />recipient agencies. We aim to feed 7,887 people, <br />support 200 local farmers and collect 20,000 pounds of <br />food through our Donation Stations. <br />Performance Measures <br />We will track the number of people fed, number of <br />farmers supported, and pounds of food collected. <br />Previous Year Program Results <br />8,300 people served, 160 farmers supported and <br />16,000 pounds of food collected. <br />Current Year Estimated Results <br />20,000 pounds of food distributed, 9,000 people served, <br />200 farmers supported. <br />Next Year Projected Results <br />20,000 pounds of food distributed, 7,887 people served, <br />200 farmers supported. <br />PROGRAM INFORMATION 2/16/2018 1 :09:05 PM Page 18 of 20 <br />