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DocuSign Envelope ID:70FA685C-23OD-4616-AOFD-2C4EC50BBB3F <br /> N FY <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 programs) in which you are requesting funding, Please select only one from the drop down <br /> 1 <br /> menu below. j <br /> Youth Services <br /> If you selected other, please tell us what function area best aligns with your organization: <br /> 1 <br /> I <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 /> Improve students' confidence in their leadership, <br /> Program Goal#1 including the ability to affect positive change in their <br /> communities <br /> Performance Measure More than 90% of teachers who report increased student <br /> (How will you accomplish your goal?) confidence in leadership on post-workshop surveys <br /> 100% (75/75) of teachers who reported that workshops <br /> Actual Results were effective or very effective in "communicating the <br /> (Outcome) idea that every child can be powerful and make a <br /> Ending FY18-19 <br /> difference." <br /> Projected Results 100% (80/80) of teachers <br /> (Outcome) <br /> Ending FY2020 <br /> Projected Results 100% (80/80)of teachers <br /> (Outcome) <br /> Endin FY2021 <br /> i <br /> Improve cross-generational learning by training and <br /> Program Goal#2 involving 20 community mentors/elders in at least 25 <br /> workshops and tours. <br /> Performance Measure <br /> #and % of workshops including participation or j <br /> (How willyou accomplish your goal?) facilitation by Northside Community Mentors <br /> Actual Resultsa 40/75,S3/o <br /> o <br /> (Outcome) <br /> Ending FYI 8-19 - I <br /> Program information P a g e 1 2 of 21 <br />