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Outside Agencies/Human Services <br /> <br />Program information P a g e 17 o f 28 <br />Please use the drop down menu below to select which function area best aligns with your <br />agency and program(s) in which you are requesting funding. Please select only one from <br />the drop-down menu 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 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 Reduce children’s food insecurity levels by <br />improving kids’ access to nutritious food <br />Performance Measure <br />(How will you accomplish <br />your goal?) <br /> <br />Annual Survey <br />Actual Results <br />(Outcome) <br />Ending FY2021 <br />Baseline: 58.9% of families (419 kids) experienced low <br />or very low food security. <br /> Projected Results <br />(Outcome) <br />Ending FY2022 <br />15% of children (110) experience improved food <br />security (move from very low to low, or low to high). <br />Projected Results <br />(Outcome) <br />Ending FY2023 <br />An additional 15% of children (110, for 220 total over 2 <br />years) experience improved food security. <br /> <br />Program Goal # 2 <br />Parents/guardians choose healthier food options <br />when purchasing food due to their participation in <br />TABLE’s programs <br />Performance Measure <br />(How will you accomplish <br />your goal?) <br /> <br />Annual Survey <br />Actual Results <br />(Outcome) <br />Ending FY2021 <br />*Preliminary and incomplete* survey results show that <br />over 80% of respondents (approximately 340 <br />parents/guardians) are either somewhat or definitely <br />encouraged to purchase more nutritious food options <br />when grocery shopping because of participation in <br />TABLE’s program. <br />_________________ <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />DocuSign Envelope ID: 5334673A-3749-4438-A4C5-1C05EECD11F3