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2021-372-Health-Club Nova Community-Outside agency funding
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2021-372-Health-Club Nova Community-Outside agency funding
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Last modified
7/21/2021 9:33:10 AM
Creation date
7/21/2021 9:32:42 AM
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Template:
Contract
Date
7/1/2021
Contract Starting Date
7/1/2021
Contract Ending Date
7/1/2021
Contract Document Type
Agreement
Amount
$19,813.00
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Strategic 0 Children improve their educational outcomes <br />Objective <br />(please choose one from 0 Residents Increase their livelihood security <br />the Results Fmnunvork) <br />0 ~Residents improve their health outcomes <br />'• · ... •' <br />. ..·.· · .. • ... ·.· . <br />•' · .. '· . <br />.. ·' ... <br />.···• -c <br />~ ......... .. <br />Intermediate Residents demonstrate new healthy lifestyle behaviors <br />Result <br />(please choose one from <br />the Results Framework) <br />I . Rt;SJ:!LTS .... ~tual .... . ·· ... · l't!IJ~cte~ • •. •· . llrQj1!Ctep <br />. ..... ·.· ··•· ... ·.· ..... · .. ·, .. · .. · .. 20;1,8-:L~ · ··~Ol!J-2.0 2020,21 <br />Performance % and # of people with 100% or 100% or 117 100%or117 <br />Indicators healthier functionality and 117 <br />(Please choose at least lifestyle behaviors (improved <br />one performance nutrition, conflict resolution <br />indicator to repm1 on skills, stress reduction <br />from the Results practices, exercise at least Framework, and add <br />additional performance 30min 3x a week, annual <br />indicators that you check-ups, etc.) would like to report to <br />the Towns. Please <br />inse11 atldltional rows as <br />needed, listing one per <br />I'OJV), <br />Performance % and # of program 100% or 100%or117 100%or117 <br />Indicators participants with new, 117 <br />sustained, improved, or <br />restored social skills <br />Performance % and # of program 100% or 100% or 117 100% or 117 <br />Indicators participants with new, <br />sustained, improved, or <br />117 <br />restored social connections <br />(social activities, outreach <br />calls and visits, community <br />involvement) <br />Performance % and # of program 100% or 100%or117 100%or117 <br />Indicators participants with new, 117 <br />sustained, improved, or <br />restored life skills or skills <br />maintained at the highest <br />level possible <br />Performance % and #of program 100% or 100% or 117 100% or 117 <br />Indicators participants who meet one 117 <br />wellness !=)Oal <br />Program information Page l6 of 35 <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />DocuSign Envelope ID: D48DD7FB-D87E-4B89-8F49-216C48CF34E2
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