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Outside Agencies/Human Services <br /> <br />Program information Page 14 of 24 <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 /> <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 <br />Increase percentage of youth ages 11-18 that <br />demonstrate new, improved or restored social skills. <br /> <br />Performance Measure <br />(How will you accomplish your goal?) <br />% and # of youth participants who demonstrate new, <br />improved or restored social skills. <br /> <br />Actual Results <br />(Outcome) <br />Ending FY2021 <br />100% <br />(49 out of 49) <br /> Projected Results <br />(Outcome) <br />Ending FY2022 <br />100% <br />(55 out of 55) <br />Projected Results <br />(Outcome) <br />Ending FY2023 <br />100% <br />(60 out of 60) <br /> <br />Program Goal # 2 <br />Increase percentage of youth participants that <br />demonstrate healthy functionality and lifestyle <br />behaviors. <br />Performance Measure <br />(How will you accomplish your goal?) <br />% and # of youth that meet the wellness goal of cycling <br />21 miles within 2 hours. <br />Actual Results <br />(Outcome) <br />Ending FY2021 <br /> 100%! <br />(49 out of 49)! <br /> <br />_________________ <br />DocuSign Envelope ID: 34CCD2E7-C2D0-4730-88A1-A14B7727456A