2021-631-E-Health-Table Ministries-Outside Agency Agreement

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Outside Agencies/Human Services Program information P a g e 13 o f 23 Please use the drop down menu below to select which function area best aligns with your agency and program(s) in which you are requesting funding. Please select only one from the drop-down menu below. Food and Nutritional Services If you selected other, please tell us what function area best aligns with your organization: Please indicate three program goals/performance measures below. A few notes: • If you use percentages, please put the actual number equivale nce. • Please ensure your performance measures are outcome based and not outputs. Program Goal # 1 Children eat, taste, or are exposed to more fresh food than they would without TABLE. Performance Measure (How will you accomplish your goal?) Annual Survey Actual Results (Outcome) Ending FY19-20 59% of respondents say their child is willing to try more fruits and vegetables than they previously would have Projected Results (Outcome) Ending FY2021 65% of respondents say their child is willing to try more fruits and vegetables than they previously would have Projected Results (Outcome) Ending FY2022 30% of respondents say their child regularly consumes more fruits & vegetables than they previously would have Program Goal # 2 Rate of food insecurity decreases among TABLE participants and they can rely on steady food assistance. Performance Measure (How will you accomplish your goal?) Survey questions based on federal 6-item questionnaire to determine level of food security Actual Results (Outcome) Ending FY19-20 13% rated as very low food security Projected Results (Outcome) Ending FY2021 11% rated as very low food security _________________ EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 6AACAE3D-76C8-46BA-8DCC-C71ED367AD95