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OOutside Agencies/Human Services <br />Program information P a g e 21 of 32 <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 />Behavior Health <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 />A few notes: <br />x If you use percentages, please put the actual number equivalence. <br />x Please ensure your performance measures are outcome based and not outputs. <br />Program Goal # 1 <br />Supportive services from OCRCC will enhance the safety and <br />wellbeing of survivors of sexual violence <br />Performance Measure <br />(How will you accomplish your goal?) <br />Survivors will be supported in learning new coping skills <br />to assist them in dealing with trauma symptoms through <br />support groups and individualized client advocacy. <br />Actual Results <br />(Outcome) <br />Ending FY2021 <br />80 (83%) of case management and therapy clients have met at least one <br />self-identified wellness goal <br /> Projected Results <br />(Outcome) <br />Ending FY2022 <br />102 (85%) of case management and therapy clients will <br />meet at least one self-identified wellness goal. <br />Projected Results <br />(Outcome) <br />Ending FY2023 <br />102 (85%) of case management and therapy clients will <br />meet at least one self-identified wellness goal. <br />Program Goal # 2 <br />Students participating in SafeTouch programs at local <br />elementary schools will increase their awareness of safety <br />and privacy rights as a result of our program. <br />Performance Measure <br />(How will you accomplish your goal?) <br />Counselors and teachers will report an increase in student <br />awareness of personal safety and protection against sexual <br />violence in post-program surveys. <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />DocuSign Envelope ID: D5354C91-47B9-4630-B4CE-FB86A8E9DAB6