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2023-544-E-Health Dept-Transplanting Traditions -Outside Agency Agreement
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2023-544-E-Health Dept-Transplanting Traditions -Outside Agency Agreement
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Last modified
10/5/2023 2:34:52 PM
Creation date
10/5/2023 2:34:31 PM
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Contract
Date
9/27/2023
Contract Starting Date
9/27/2023
Contract Ending Date
10/5/2023
Contract Document Type
Contract
Amount
$12,000.00
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<br />Outside Agencies/Human Services <br /> <br />Program information P a g e 20 o f 32 <br />Please select which function area best aligns with your agency and program(s) in which you are <br />requesting funding. Please select only one from the list below: <br /> <br />☐ Behavior Health ☐ Public Health & Health Education <br />☒ Food & Nutritional Service ☐ Recreational <br />☐ Housing ☐ Senior Services <br />☐ Human Rights & Community Services ☐ Youth Services <br />☐ Juvenile & Adult Justice Services ☐ Other <br /> <br /> <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 /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Program Goal # 1 Farmer participants measurably improve their capacity and <br />knowledge to grow and meet the increased need for fresh food <br />_________________ <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATIONDocuSign Envelope ID: D2C31311-1A1A-4A30-9007-2F17D64E6227
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