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DocuSign Envelope ID:789E95FE-A609-46D6-AEOC-EDB3D189AD23
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<br /> Outside Agencies/Human Services
<br /> Pleas tzsi-It•h't2u pA6wn menu below to:select yvhich, ,unction area best aligns 'with your agency
<br /> �rl progrand(s) in which you are requesting funding. please select only one from the drop down
<br /> 5elairior Health' .
<br /> I#'vou selected others please tell us what functiori area best aligns with your organization:
<br /> ;'.P.loase indicate three program.goals/performance measures below.
<br /> ' i•A#ew.notes:- .' . -
<br /> :' ,�...;1#yc6..use percentages,please.put the actual number equivalence.
<br /> e Please ensure your performance measures are outcome based and not outputs.
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