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DocuSign Envelope ID: D3ADCOFO-560B-45AA-A3EA-B65E3A3A06DE XHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Program Goal Provide nutritious foods that kids need every week as well as <br /> reinforce health and academic habits using our Food for Thought <br /> Worksheets (academic and nutrition education worksheets that go <br /> home monthly with our kids). <br /> Performance Measures TABLE executes surveys every spring with parents of children that <br /> TABLE serves. <br /> Previous Year Program Results 73% of kids who received healthy food from TABLE for more than <br /> one year received good grades often, compared to 45% of new <br /> participants. This means that 28% of our kids likely performed better <br /> academically because of food they received from TABLE. This is <br /> new data we began gathering in 2016 and will continue to measure <br /> annually. <br /> Additionally, 89% of kids who received healthy food from TABLE for <br /> more than one year ate fruits and vegetables often, compared to <br /> 70% of new participants. <br /> Current Year Estimated Results 30% of kids experience some other academic, health, personal, <br /> physical, or social benefit as a result of receiving the nutrition they <br /> need every week <br /> Next Year Projected Results 35% of kids experience some other academic, health, personal, <br /> physical, or social benefit as a result of receiving the nutrition they <br /> need every week. <br /> 4. Program Activity Name <br /> Program Goal <br /> Performance Measures <br /> Previous Year Program Results <br /> Current Year Estimated Results <br /> Next Year Projected Results <br /> PROGRAM INFORMATION 1/30/2017 4:15:08 PM P a g e 1 6 o f 1 9 <br />