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Outside Agencies/Human Services <br /> <br />Program information Page 14 of 37 <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- <br />down menu below. <br />Food and Nutritional Services <br /> <br />If you selected other, please tell us what function area best aligns with your organization: <br /> <br /> <br /> <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 /> <br />Program Goal # 1 Increase the number of individuals who have access to <br />fresh, nutritious food <br />Performance Measure <br />(How will you accomplish your goal?) <br />Percentage and number of program participants that <br />receive/consume fresh food <br />Actual Results <br />(Outcome) <br />Ending FY2021 <br />N/A – Orange County did not fund our work with this <br />partner in FY2021. <br /> Projected Results <br />(Outcome) <br />Ending FY2022 <br />N/A – Orange County did not fund our work with this <br />partner in FY2022. <br />Projected Results <br />(Outcome) <br />Ending FY2023 <br />100% / 600 <br /> <br />Program Goal # 2 Increase recipients’ awareness of the value and usage <br />of fresh, nutritious food <br />Performance Measure <br />(How will you accomplish your goal?) <br />Percentage and number of program participants who <br />receive nutrition/usage information related to the food <br />distributed <br />Actual Results <br />(Outcome) <br />Ending FY2021 <br />N/A – Orange County did not fund our work with this <br />partner in FY2021. <br />Projected Results <br />(Outcome) <br />Ending FY2022 <br />N/A – Orange County did not fund our work with this <br />partner in FY2022. <br />Projected Results <br />(Outcome) <br />Ending FY2023 <br />100% / 600 <br /> <br />_________________ <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />DocuSign Envelope ID: BC021861-30DF-4F8A-9FA3-8AE2B71D28D0