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<br />Program information Page 14 of 33 <br />*Note: Last year’s application required each program to fill out demographic and cost per <br />individual tables separately. These instructions were misunderstood and last years cost per <br />individual program combined Healthy Food Access and Business Development Program into <br />one cost per individual making last years projected data irrelevant to the table below. <br /> <br /> Actual 2020-2021 Projected 2021-2022 Projected 2022-2023 <br />Total Cost of Program N/A N/A $118,867 <br />Total # of Individuals N/A N/A 1751 <br />Cost Per Individual N/A N/A $68 <br /> <br /> <br />Program Name: TTCF Healthy Food Access Program <br /> <br />Strategic <br />Objective <br />(please choose one from <br />the Results Framework) <br /> <br /> <br />Ö Residents improve their health outcomes <br /> <br /> <br />Intermediate <br />Result <br />(please choose one from <br />the Results Framework) <br />3.2: Residents demonstrate new healthy lifestyle behaviors <br /> <br /> <br /> <br />RESULTS Actual <br />2020-2021 <br />Projected <br />2021-2022 <br />Projected <br /> 2022-2023 <br />Performance Indicators <br />(Please choose at least one performance indicator to report on from the Results Framework, and add additional performance indicators <br />that you would like to report to the Towns. Please insert additional rows as needed, listing one per row). <br /># of people reporting healthier functionality <br />and lifestyle behaviors (improved nutrition <br />and access to healthy food, stress reduction <br />practices, exercise at least 30min 3x a <br />week.) <br />100% of 12 heads <br />of household <br />reporting on behalf <br />of 57 total <br />household <br />participants, report <br />that all household <br />member, or 57 <br />people total, <br />improve their <br />nutrition, physical <br />activity and stress <br />reduction practices <br /> <br />100% of 21 <br />heads of <br />household <br />reporting on <br />behalf of 88 <br />total <br />household <br />participants, <br />report that all <br />household <br />member, or <br />88 people <br />total, improve <br />their nutrition, <br />physical <br />activity and <br />stress <br />100% of 12 <br />heads of <br />household <br />reporting on <br />behalf of 57 total <br />household <br />participants, <br />report that all <br />household <br />member, or 57 <br />people total, <br />improve their <br />nutrition, <br />physical activity <br />and stress <br />reduction <br />practices <br /> <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />DocuSign Envelope ID: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631