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Exhibit B <br />Sample Reporting Template <br />PERFORMANCE GOAL/PROJECT OUTCOME: Describe this quarter's activities towards each goal, the <br />performance measures used, and the results. Make sure to report quantitative accomplishments and <br />provide supporting documentation of accomplishments. Describe any problem areas or challenges <br />associated with achieving your program performance goals. <br /> QTR 1 QTR 2 QTR 3 QTR 4 CHALLENGES <br />Provide shelter to at least 260 individuals experiencing homelessness in shelter and cold weather cots <br />(unduplicated) <br /># served in shelter <br /># served in cold weather cots <br />ADDITIONAL PROGRAM DATA: Provide data on the following program outcomes. Note any data caveats <br />or challenges associated with the reported data. <br />QTR 1 QTR 2 QTR 3 QTR 4 Notes/Comments <br />Average # case management hours <br />delivered per month (e.g. housing <br />plan, income growth, employment) <br /> <br /> <br />Average Length of Stay <br />Client income and employment <br />% of clients with income growth <br />Client housing situation before program entry (HMIS Categories) <br />Homeless Situations <br />Institutional Situations <br />Temporary Situations <br />Permanent Situations <br />Other Situations <br />Client housing situation after program exit (HMIS Categories) Homeless Situations <br />Docusign Envelope ID: 3B08A048-869F-453D-90BD-AD70C1468FEC