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DocuSign Envelope ID:2B362E51-9A19-4059-AA75-008A33D65AFD <br /> x«' :I`I I C- tOIA NA <br /> Outside Agencies/Human Services <br /> Please use the drop down menu below to select which function area best aligns with your agency <br /> and program(s) in which you are requesting funding. Please select only one from the drop down <br /> menu below. <br /> Recreational <br /> If you selected other, please tell us what function area best aligns with your organization: <br /> Please indicate three program goals/performance measures below. <br /> A few notes: <br /> If you use percentages, please put the actual number equivalence. <br /> Please ensure your performance measures are outcome based and not outputs, <br /> Cooking and Nutrition Class J&H <br /> Program Goal#1 <br /> i) _Students will decide on culturally diverse menus, <br /> incoiTorating healthy choices. <br /> Performance Measure2) Students will bake dessert l xmonth for Meals on <br /> Wheels. <br /> (Ho,v,vtllyou accomplish your goal?) 3) Cooking Instructor will keep attendance and report <br /> monthly on menus and volunteerism of the group. <br /> 4) Use participant annual surveys to measure satisfaction. <br /> Actual Results 20 <br /> (Outcome) <br /> Ending FY18-19 <br /> Projected Results 32 <br /> (Outcome) <br /> Ending FY2020 <br /> Projected Results 32 <br /> (Outcome) <br /> Ending FY2021 <br /> Program Goal#2 Triangle Self Advocacy Network <br /> 1) Self-advocate advisor will report out monthly on <br /> curriculum and topics discussed <br /> Performance Measure <br /> 2) Advisor will take attendance. <br /> (How rvin yqu accomplish yourgoal?) 3) TSAN group will decide by vote what topics they wish <br /> to discuss/learn about, x;> <br /> Program hfoR oration P a g e 2 o l 21 <br /> l <br />