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Outside Agencies/Human Services <br /> <br />Program information Page 13 of 22 <br />Please use the drop down menu below to select which function area best aligns with your agency and <br />program(s) in which you are requesting funding. Please select only one from the drop down menu <br />below. <br />Food and Nutritional Services <br />If you selected other, please tell us what function area best aligns with your organization: <br /> <br /> <br />Please indicate three program <br />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 /> <br />Program Goal # 1 Orange County residents have access to fresh food <br />Performance Measure <br />(How will you accomplish your goal?) <br /># of participants that receive food over 12 months <br />Actual Results <br />(Outcome) <br />Ending FY18-19 <br />5,243 <br /> Projected Results <br />(Outcome) <br />Ending FY2020 <br />3,936 <br />Projected Results <br />(Outcome) <br />Ending FY2021 <br />3,936 <br /> <br />Program Goal # 2 Orange County residents receive fresh produce to <br />supplement meals <br />Performance Measure <br />(How will you accomplish your goal?) <br /> <br /># of pounds of food distributed over 12 months <br />(1 pound = 4 meals supplemented) <br />Actual Results <br />(Outcome) <br />Ending FY18-19 <br />16,549 <br />Projected Results <br />(Outcome) <br />Ending FY2020 <br />10,340 <br />Projected Results <br />(Outcome) <br />Ending FY2021 <br />12,911 <br /> <br />_________________ <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />DocuSign Envelope ID: 8C888F46-91B5-4337-8927-E87F20B28ADC