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Certified by: _______________________ Title: __________________________ Date: ____________ <br /> (Provider’s Signature) <br /> <br /> <br />Performance Measures Anticipated <br />Results <br />Information & Referral Services: <br /> <br />Number of individuals receiving Information and Referral services. <br /> <br />Percent with knowledge of appropriate social services. <br />Of at least <br />1,200 clients, <br />85% will report <br />knowledge of <br />appropriate <br />social services <br />in FY 22-23 <br />Youth Interpersonal Violence Prevention Education: <br /> <br />Number of individuals (youth) that receive abuse and neglect prevention and <br />response services. <br /> <br />Percent who report increased knowledge about dating/domestic violence. <br />Of at least <br />1,300 clients, <br />80% will report <br />increased <br />knowledge <br />about <br />dating/domestic <br />violence in FY <br />22-23. <br />Adult Community and Professional Interpersonal Violence Education and Gender <br />Equity Awareness Activities: <br /> <br />Number of individuals (adults) that receive abuse and neglect prevention and <br />response services. <br /> <br />Percent who report increased knowledge about domestic violence and available <br />services. <br />Of at least <br />2,000 clients, <br />80% will report <br />increased <br />knowledge <br />about domestic <br />violence and <br />available <br />services in FY <br />22-23. <br /> <br /> <br /> <br /> <br /> <br /> <br />DocuSign Envelope ID: 4395F7AF-8BE9-493E-9905-C26D33EFE250