2018-509-E Finance - El Centro Hispano outside agency agreement

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DocuSign Envelope ID: A899BE5E- BAEC- 40F3 -91 E1- A9D77FC4C488 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 ( §pecific, 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 measurable 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 ECH Community Support and Engagement Services 1. Program Activity Marne Information, Referral, and Support Services Program Goal 1,200 referrals and support services rendered to Latinos and other community members in the Orange County, Chapel Hill, and Carrboro areas Performance Measures # of referrals and support services provided; # of new users Previous Year Program Results 1537 services provided; 781 new users Current Year Estimated Results 1 1,200 Goal for year; 561 served as of 12/31/17 Next Year Projected Results I At least 1,200 2.: Program Activity Maitre Legal Assistance Program Goal 150 appointments made for individuals in need of legal services Performance Measures # of appts made; # of appts kept; #referred to ECH Lawyer Previous Year Program Results 202 appts made Current Year Estimated Results 150 Goa[ for year; 55 appts made as of 12/31/17 Next Year Projected Results At least 150 3... Program Activity Name Community Education and Outreach Program Goal 12 Community Events will be held (such as the Forums, Faith 1D Drives & the Latin - American Festival) to improve communication, engagement, and access to area resources by Latino community members as well as to foster cross - cultural appreciation and understanding Performance Measures # of events held; # of participants Previous Year Program Results 8 events held (Faith ID, Know Your Rights, DACA, International Festival) Current Year Estimated Results 14 events as of 12/31/2017 Next Year Projected Results I At least 12 community events PROGRAM INFORMATION 1122/201810:14.21 AM pa g e '1 8 0 f 3,