Orange County NC Website
Browse       Search
DocuSign Envelope ID: EB294A71-C7D1-4EE4-8287-60A6149320D4 <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 measures, <br /> and actual results. (Add more rows as needed) If this is a new program, you will only <br /> document the projected information. Every program is required to have AT LEAST I Program <br /> Activity, which should be SMART (,apecific, Measurable, Achievable, Relevant, and Time- <br /> bound. Click on SMART Goals to learn more. <br /> • Program Activities should outline major activities the agency implements to accomplish its <br /> program goals. (i.e. Deliver meals to elderly/disabled residents.) <br /> • 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 /> • Performance Measures describe how you will evaluate the degree in which you achieved <br /> 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 average of <br /> 105 meals per day.) <br /> Work Statement Chart for Program Shelters <br /> 1. Program Activity Name Shelters <br /> Program Goal Community House and HomeStart will provide safe shelter <br /> and case management to support residents in obtaining <br /> permanent housing <br /> Performance Measures Information logged into HMIS and internal databases <br /> Previous Year Program Results 270 homeless persons received shelter <br /> Current Year Estimated Results 304 homeless persons receive shelter, with access to full- <br /> time Case Managers <br /> Next Year Projected Results 335 homeless persons receive shelter, with access to full- <br /> time Case Managers <br /> p) Program Budget <br /> 5. Submit your program budget. You may complete the provided template (separate AS <br /> file) or you may submit your own budget file (as long as it contains the same information, <br /> in the same format, as requested in the provided template). Attached <br /> Program Budgets are required to define budget amounts for the previous program <br /> year, current program year, and next program year for the following categories: <br /> Revenues <br /> o Private Donations <br /> Program Generated Revenue <br /> * Local Government Grants <br /> ■ Carrboro Human Services <br /> ■ Carrboro Other <br /> ■ Chapel Hill Human Services <br /> ■ Chapel Hill Other(DO NOT include CDRG funding here) <br /> ■ Change County Human Services <br /> ■ Orange County Other(DO NOT include HOME funding here) <br /> DO NOT SUBMIT THIS PAGE 1/23/2018 2:05:13 PM Page 21 of 37 <br />