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DocuSign Envelope ID: EE049453-18E5-41 DO-B66D-B62773A7BC09 <br /> EXHIBITA: Provider's Outside Agency Application <br /> Work Statement <br /> o) Complete the Work Statement Chart to describe the work to be performed. <br /> This chart is used to document program activities, program goals, performance <br /> measures, and actual results. (Add more rows as needed) If this is a new program, <br /> you will only document the projected information. Every program is required to have <br /> AT LEAST 1 Program Activity, which should be SMART (�jpecific, _Measurable, <br /> Achievable, Relevant, and Time-bound. Click on SMART Goals to learn more. <br /> • Program Activities should outline major activities the agency implements to <br /> accomplish its program goals. (i.e. Deliver meals to elderly/disabled residents.) <br /> • Program Goal should explain what the program is trying to achieve/accomplish. <br /> Goals are statements about what the program should accomplish. (i.e. Deliver 100 <br /> meals per day, Monday-Friday.) <br /> • Performance Measures describe how you will evaluate the degree in which you <br /> achieved the stated goals. (i.e. Will track the number of meals delivered each day.) <br /> • 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 <br /> average of 105 meals per day.) <br /> Work Statement Chart for Program <br /> 1. Program Activity Name Spoke'n Revolutions <br /> Program Goal To decrease summer learning loss for student <br /> participants. <br /> Performance Measures In 2018 the Spoke'n Revolutions program will serve 20 <br /> students with afterschool and summer programs. <br /> In 2018 the SnR program have a 95% program <br /> satisfaction rate among participants and their <br /> parents/guardians. <br /> Pre and post 2018 tour assessments will show a 90% <br /> increase in student gains in historical and environmental <br /> knowledge to include the natural and cultural history of <br /> the Raleigh watershed region and the NC coastal region <br /> as outlined in the tour curriculum. <br /> 2018 summer tour participants will show an increase in <br /> soft skills including team building, communication, and <br /> leadership skills. <br /> Previous Year Program Youth were able to recount learning moments and <br /> Results experiences while on the Trail of Tears tour well into the <br /> school year. December 2017) <br /> Current Year Estimated in 2018, 90% of high school students already studying <br /> Results American history will build upon and deepen their <br /> PROGRAM INFORMATION 1/23/2018 1:34:47 PM Page 20 of 26 <br />