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1/31/24, 11:37 AM HSOA-24-41 <br />https://chapelhillnc.workflow.opengov.com/#/explore/records/63264/react-form-details/63264 12/14 <br />Projected Outcomes 2024-2025 <br />Community Impact Award <br />Please describe the impact the proposed programs will have on the target population. Please include specific <br />quantitative and qualitative data in your response. <br />What methods/tools will your organization use to evaluate the proposed program’s effectiveness? Please <br />include specific examples, such as a logic model. <br />Please briefly describe how your proposed programs aligns with evidence-based approaches to addressing <br />human service need(s). <br />Please describe one to three key partnerships/collaborations that add the most value to the success of the <br />proposed programs. <br />If you are not awarded a Community Impact Award, what would your agency’s funding request be? <br />Applicant Statement <br />Disclosure of Conflicts of Interest <br />see attached document <br />Docusign Envelope ID: 5C318706-42D9-4B0F-B8A6-43E915CB7F39