2017-720-E Finance - Table outside agency agreement

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DocuSign Envelope ID: D3ADCOFO-560B-45AA-A3EA-B65E3A3A06DE XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION Total 516 550 630 Work Statement m) 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 Feed 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 504 kids with healthy food for 34 weeks of the school year, Current Year Estimated Results Provide up to 550 kids with healthy food 34+ weeks of the school year. Next Year Projected Results Provide at least 600 kids with healthy food 34+weeks of the school year. 2. Program Activity Name Encourage Healthy Eating Program Goal Partner with local fresh food providers and donors to incorporate more healthy food for our kids that they begin to enjoy eating. By 2020, we would like to include 50% produce every week for our kids. Performance Measures We track all food that we distributed by weight.To measure this goal, we simply have to compare the total weights of the produce and milk with the total weight of all bags distributed. Previous Year Program. Results Provided healthy food to kids we serve by distributing bags that include 30 percent produce. Current Year Estimated Results Distribute bags that include 35% produce Next Year Projected Results Distribute bags that include 40% produce 3. Program Activity Name Help Kids Succeed PROGRAM INFORMATION 1/30/2017 4:15:08 PM P a g e 1 5 o f 1 9