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DocuSign Envelope ID: BE69DOF4-65F9-4511-85C7-BCBB1 0605A1 1 <br /> ORANGE COUNTY <br /> NOIt 1 1 1 ( A Rol I N A <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 /> Youth Services <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 /> Program Goal# 1 85% of students attending for a minimum of 3 days <br /> successfully complete the program <br /> Students demonstrate increased sense of connectedness to <br /> Performance Measure school and self <br /> (How will you accomplish your goal?) (indicators: active participation, schoolwork completion, goal <br /> setting) <br /> Actual Results 96% <br /> (Outcome) 137 out of 143 students <br /> Ending FY18-19 <br /> Projected Results 128 out of 150 students <br /> (Outcome) <br /> Ending FY2020 <br /> Projected Results 128 out of 150 students <br /> (Outcome) <br /> Ending FY2021 <br /> Program Goal#2 75% of students achieve an academic and/or personal goal <br /> upon return to school <br /> Performance Measure Students demonstrate new grade-level-appropriate skills <br /> (How will you accomplish your goal?) (indicators: improved participation and schoolwork completion, <br /> accessing school supports) <br /> Actual Results 70% <br /> (Outcome) 100 out of 143 students <br /> Ending FY18-19 <br /> Projected Results 113 out of 150 students <br /> (Outcome) <br /> Ending FY2020 <br /> Projected Results 113 out of 150 students <br /> Cover Page P a g e 9 o f 18 <br />