Orange County NC Website
Work Statement <br />o)Complete the Work Statement Chart to describe theworktobeperformed. <br />This chartis 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 document <br />the projectedinformation.Every program is required to have AT LEAST 1 Program Activity, <br />which should be SMART (Specific, Measurable, Achievable, Relevant, and Time-bound. Click <br />on SMART Goals to learn more. <br />x Program Activities should outline major activities the agency implements to accomplish its <br />program goals. (i.e. Deliver meals to elderly/disabled residents.) <br />x 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 />x Performance Measures describe how you will evaluate the degree in which you achieved <br />the stated goals. (i.e. Will track the number ofmeals delivered each 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 average of <br />105 meals per day.) <br />Work Statement Chartfor Program My Brother’s Keeper (MBK) Orange County <br />Program Activity Name MBK Leadership Summit <br />Program Goal To build a program and policy agenda for MBK Orange County <br />Performance Measures 1.# of partners that accurately describe common agenda <br />2.# of partners that publicly discuss/advocate for common agenda <br />goals <br />Previous Year Program Results n/a <br />Current Year EstimatedResults 1.20 <br />2.20 <br />Next Year Projected Results n/a (goal will be completed) <br />Program Activity Name MBK Opportunity Summit, Saturday Leadership Academy, and <br />Team Mentoring <br />Program Goal x To provide 2opportunity summits will focus on student <br />achievement, career/personal/professional development, social <br />justice and engagement, and mentorship. <br />x To providestudentscomprehensive Saturday Leadership <br />Academy that focuses on mastery of 21st Century Skills and <br />Team Mentoring that focuses on life skills and character <br />development. <br />Performance Measures 1.# of mentors/mentees participating in MBK related activities <br />2.# of students that complete at least 8 hours of community service <br />perschool year <br />3.% of students that report satisfactory mentoring relationships in <br />monthly contact reports <br />4.# of stakeholders that attend MBK Opportunity Summit <br />Previous Year Program Results n/a <br />Current Year EstimatedResults 1.100 <br />2.50 <br />3.50 <br />4.100 <br />EXHIBIT A: Provider's Outside Agency Application <br />DocuSign Envelope ID: 7399BACD-0CBF-4EF4-9068-B429A8CA12F8