Orange County NC Website
DocuSign Envelope ID: D90F57F1-8076-4358-9941-F62552053F84 <br /> EXHIBIT"B" <br /> Scope of Services—FY 2020-21 <br /> Outside Agency Performance Agreement <br /> Agency Name: <br /> Chapel Hill Training Outreach Project(MOE Funds) 40 <br /> Program Name: KIdSCope - Outreach <br /> Funding Award: $15,000 <br /> Outline how the agency will spend Orange County's funding award. <br /> Expense Description Amount <br /> Salaries, FICA, and Fringe $15,000 <br /> Program Services <br /> Outline the critical services(activities)the agency will employ to attain the Anticipated Outcomes below,by June 30,2021. <br /> • Provide outreach activities for evidence-based therapeutic interventions <br /> • Provide evidence-based therapeutic interventions (on protective factors) <br /> Complete evidence-based therapeutic interventions with children/families <br /> Anticipated Outcomes <br /> The Anticipated Results column must include quantifiable results in the form of number of persons/units served within Orange <br /> County,only(all Towns and municipalities). <br /> If you use percentages you must also provide the total number of participants within that measure's description or for an <br /> earlier performance measure. <br /> Performance Measures Anticipated <br /> Results <br /> 50 <br /> # of individuals (families and providers) reached through outreach <br /> activities in the community <br /> 98/120, <br /> # and % of children (and families) completing therapeutic interventions 82% <br /> 126/140, <br /> # and % of familiy members of referred children provided counseling/ 90% <br /> education <br /> DocuSigned by: <br /> Executive Dir. 1/26/2021 <br /> Certified by: � Title: Date: <br /> (Provider's Electronic Signature) <br /> "You will sign this document electronically with your performance agreement. <br />