Appendix II. National Performance 

Measure Instructions

Senior Demonstration Programs-Workforce 

Development
1

Contents

Performance Measure Requirements...........................................................................................................2

Complete List of AmeriCorps Seniors Performance Measures for Workforce Development Programs...3

Focus Area: Education ............................................................................................................................................ 3

Focus Area: Healthy Futures................................................................................................................................... 7

Focus Area: Disaster Services ............................................................................................................................... 10

Focus Area: Economic Opportunity...................................................................................................................... 12

Focus Area: Veterans and Military Families........................................................................................................ 15

AmeriCorps Seniors Independent Living Performance Measure Survey .................................................18

AmeriCorps Seniors Respite Care Performance Measure Survey ............................................................20
2

Performance Measure Requirements

1. Workforce Development Funding Priorities: Priorities for this funding opportunity are:

• Support older adults in obtaining permanent employment in skilled labor, professional or

paraprofessional setting (for the purpose of this NOFO, professional is defined as

“engaged in a specified activity as one’s main paid occupation rather than as a

pastime and requires a particular skillset in order to be successful. Paraprofessional is

defined as specially trained or credentialed employment, such as education,

healthcare, engineering, law).

• Provide training and/or certification for employment, including supports such as

mentoring programs, transportation, or other forms of support;

• Support and/or coaching should be provided in regular increments, including during

pre- and post-employment placement;

• Provide a reasonable stipend to support older adults’ service. If the program model

does not include a stipend for beneficiaries, a full explanation must be provided,

including how the program recruits, retains, supports volunteers, and a pattern of

success;

• Service (volunteer placement) must be included with training and certification.

• Programs that are on the health career path must describe how seniors will be

recruited, trained, and mentored for health professions. For example, a program may

recruit retired nurses, dentists, or doctors and other health workers to return to the public

health workforce.

• Public Health AmeriCorps: Applicants interested in addressing immediate public health

needs and reducing health disparities in their communities and building the public

health workforce through ENAGEMENT with older adults may propose a program that

aligns with the Public Health AmeriCorps initiative. See Appendix III in the Notice of

Funding Opportunity for more information.

2. National Performance Measures: Every national performance measure output must be

paired with a single outcome. For each Performance Measure, applicants must select one

output and one of the associated outcomes. While beneficiaries may receive benefits

associated with more than one available outcome, select only one outcome for each

beneficiary served.

3. Work Plan: All volunteers must be placed in an outcome-based work plan in the

unduplicated volunteers field. Each volunteer can only be counted once as an

unduplicated volunteer even if they are assigned to more than one service activity. The

volunteer should be counted in the area where he/she will make the most impact – in

terms of the focus area, the type of service, or the scope of service (such as the greatest

number of hours served).

4. Maximum Cost per Placement: AmeriCorps Seniors will allow the program to propose a

cost per placement. This will allow programs to provide the training and resources

necessary to support and retain job placement.

5. Performance Measure Resources:

• AmeriCorps National Performance Measurement Core Curriculum
3

Complete List of AmeriCorps Seniors Performance Measures for

Workforce Development Programs

These selection rules specify the focus area output/outcome pairings for National Performance

Measures. The selected focus area(s) must relate to the proposed service-to-work project. 

Applicants must follow these selection rules when using National Performance Measures.

Applicants may not select any National Performance Measures that may appear in eGrants if

they are not present on this list. Please see the Notice for additional information about

application requirements.

Besides reporting on the national performance measures for the service component of the

project, organizations receiving grants under this NOFO will also be required to participate in

an external evaluation. Applicants do not need to budget for this evaluation, as staff time will

be minimal. More information about this external evaluation will be provided once the grants

are awarded.

Focus Area: Education

*Applicants who experience issues finding the appropriate measures in the Performance

Measure Module of eGrants, should ensure that the objectives of the measures they would like

to use are marked in the “Objective” tab. Then, in the “Performance Measure” tab, that the

“Other” category in “Select Category Title” is selected.

Objective Selection Rules Service Activity

Outputs Outcomes

School 

Readiness

ED1A: Number 

of individuals 

served

ED23A: Number of 

children 

demonstrating gains in 

school readiness

Tutoring 

Mentoring

Other Classroom Support 

Out-of-School Time 

Family Involvement 

Service Learning

Summer Learning

Classroom Teaching

Social and Emotional 

Support

K-12

Success

ED1A: Number 

of individuals 

served

ED5A: Number of 

students with 

improved academic 

performance

ED9: Number of 

students graduating 

from high school on 

time

ED10: Number of 

students enrolling in 

post-secondary 

education/training

Tutoring

Mentoring

Other Classroom Support

Out- of-School Time

Family Involvement

Service Learning

Summer Learning

Classroom Teaching

Opioid/Drug Intervention
4

Education Notes

• These performance measures are intended to measure the impact of activities that

support and/or facilitate access to services and resources that contribute to improved

educational outcomes for economically disadvantaged people, especially children.

• These activities must be carried out by National Service Participants or by volunteers

directly recruited and/or supported by National Service Participants.

• All individuals counted under these measures must be program beneficiaries, not

National Service Participants.

Applicants that select output ED1A may select outcome ED5A, 

ED6, ED7A, ED9, ED10, ED11, ED23A, or ED27C.

Objective Selection Rules Service Activity

Outputs Outcomes 

School 

Readiness

ED1A: Number 

of individuals 

served

ED23A: Number of 

children 

demonstrating gains in 

school readiness

Tutoring 

Mentoring

Other Classroom Support 

Out-of-School Time 

Family Involvement 

Service Learning

Summer Learning

Classroom Teaching

Social and Emotional 

Support

ED27C: Number of 

students with 

improved academic 

engagement or socialemotional skills

ED6: Number of 

students with 

increased attendance

ED7A: Number of 

students with 

decreased disciplinary 

incidents (referrals, 

suspensions/ 

expulsions, criminal or 

gang involvement)

Post- HS 

Education 

Support

ED1A: Number 

of individuals 

served

ED11: Number of 

individuals earning a 

post-secondary 

degree or technical 

certification

Tutoring 

Mentoring

Family Involvement 

Service Learning 

Summer Learning
5

ED1A (output) Number of individuals served

Definition of 

Key Terms

Individuals: recipients of AmeriCorps Senior -supported services related to 

education; may include students enrolled in grades K-12, out-of-school 

youth, preschool age children, and/or individuals pursuing postsecondary 

education

Served: substantive engagement of individuals with a specific

education-related goal in mind. Cannot consist solely of mass 

dissemination of information such as email blasts, social media posts, or 

distributing pamphlets.

How to 

Measure/

Collect Data

Tracking mechanism that ensures an unduplicated count of individuals 

who

have received

ED5A 

(outcome)

Number of students with improved academic performance

Definition of 

Key

Terms

Students: those reported in ED1A

Improved academic performance: an improved demonstration of skill or 

knowledge in one or more academic subjects

How to 

Measure/

Collect Data

Standardized test, report card grade, or other instrument capable of 

measuring changes in academic performance at the individual 

beneficiary level. When possible, pre-post assessments should be utilized.

ED6 (outcome) Number of students with increased school attendance

Definition of 

Key

Terms

Students: those reported in ED1A

Increased school attendance: higher rate of presence and/or on-time 

arrival at school as compared to a previous comparable time period

How to 

Measure/

Collect Data

School/district/classroom attendance records or other instrument capable 

of measuring changes in attendance at the individual beneficiary level

ED7A 

(outcome)

Number of students with decreased disciplinary incidents (referrals, 

suspensions/expulsions, criminal or gang involvement)

Definition of 

Key

Terms

Students: those reported in ED1A

Decreased disciplinary incidents: lower rate of incidents as compared to a 

previous comparable time period

How to 

Measure/

Collect Data

School/district/classroom records, police records, or other instrument 

capable of measuring changes in disciplinary incidents at the individual 

beneficiary level

ED9 (outcome) Number of students graduating from high school on time with a diploma

Definition of 

Key

Terms

Students: those reported in ED1A

On Time: Within four years of starting 9th grade

How to 

Measure/

Collect Data

Preferred method is school/district graduation records for student 

beneficiaries. Beneficiary self-reports may also be utilized.
6

ED10 

(outcome)

Number of students enrolling in post-secondary education or training

Definition of 

Key

Terms

Students: those reported in ED1A

Post-secondary education or training may include two- or four-year 

college programs or occupational/vocational programs

Enrolling: means matriculating as a full-time or part-time student

How to 

Measure/

Collect Data

Preferred method is registration records that confirm student enrollments. 

Beneficiary self-reports may also be utilized.

ED11 

(outcome)

Number of students earning a post-secondary degree or technical 

certification

Definition of 

Key Terms

Students: those reported in ED1A or V1, V7A, V8

Degree: may include an associate degree from an accredited academic 

program or an occupational or vocational program; a bachelor’s degree 

(ex., BA, BS); a master’s degree (ex.: MA, MS, MEng, MEd, MSW); a

professional school degree (ex.: MD, DDS, DVM); or a doctorate degree 

(ex.: PhD, EdD)

How to

Measure/ 

Collect Data

Preferred method is registration records that confirm degree was earned. 

Beneficiary self- reports may also be utilized.

ED23A

(outcome)

Number of children demonstrating gains in school readiness

Definition of 

Key

Terms

Children: those reported in ED1A

School readiness: Preparation for Kindergarten which includes multiple 

indicators assessed across developmental and behavioral domains 

including but not limited to physical well- being, health and motor 

development, social and emotional development, approaches to 

learning, language development, cognitive development, and ageappropriate academic skills and behavior.

How to

Measure/ 

Collect Data

Teacher observation, standardized test, or other instrument capable of 

measuring changes in school readiness at the individual beneficiary level. 

When possible, pre-post assessments should be utilized.

ED27C 

(outcome)

Number of students with improved academic engagement or social and 

emotional skills

Definition of

Key Terms

Students: those reported in ED1A

Improved academic engagement or social and emotional skills: A positive 

change in student skills, attitude, and/or mindset that is likely to contribute 

to increased educational success. May include increased interest in 

school, improved perspective on school climate, increased attachment to 

school, and/or increased educational aspirations.

How to 

Measure/

Collect Data

Survey, observation, or other instrument capable of measuring changes in 

academic engagement or social and emotional skills at the individual 

beneficiary level. When possible, pre-post assessments should be utilized.

Notes Academic or behavioral improvements counted under ED5A, ED6, or ED7A 

cannot be counted under this measure
7

Focus Area: Healthy Futures

Objective Selection Rules Service Activity

Outputs Outcomes

Aging in 

Place

H4A: Number of 

individuals 

served

H9A: Number of 

individuals who report 

having increased 

social support or 

improved capacity for 

independent living

H14: Number of 

caregivers of older 

adults and individuals 

with disabilities who 

reported having 

increased social 

support

Companionship 

Nutrition/Food Support 

Legal Services 

Transportation 

Medical Services 

Opioid/Drug Intervention 

Elder Justice: Fraud and 

Scam Prevention 

Respite Services

Access to

Care

H4A: Number of 

individuals

served

H17: Number of

individuals with 

increased health 

knowledge

H18: Number of 

individuals reporting a 

change in behavior or 

intent to change 

behavior to improve 

their health

H19: Number of 

individuals with 

improved health

H20: Number of 

individuals with 

improved access to 

medical care

Outreach 

Education/Training Referrals

Medical Services 

Counseling/Coaching 

Opioid/Drug Intervention 

Disability Inclusion
8

Healthy Futures Notes:

• These performance measures are intended to measure the impact of activities that

meet health needs within communities including access to care and addressing

childhood obesity.

• These activities must be carried out by National Service Participants or by volunteers

directly recruited and/or supported by National Service Participants.

• All individuals counted under these measures must be program beneficiaries, not

National Service Participants.

Applicants that select output H4A may select outcome H12, H15A, H17, H18, H19, or H20.

H4A (output) Number of individuals served

Definition of

Key Terms

Individuals: recipients of AmeriCorps Seniors supported services related to 

improving health-related outcomes

Served: substantive engagement of individuals with a specific healthrelated goal in mind. Cannot consist solely of mass dissemination of 

information such as email blasts, social media posts, or distributing 

pamphlets.

How to

Measure/

Collect Data

Tracking mechanism that ensures an unduplicated count of individuals 

who have received services.

Objective Selection Rules Service Activity

Outputs Outcomes

Obesity &

Food

H4A: Number of 

individuals

served

H12: Number of

individuals who report 

increased food security

H17: Number of

individuals with 

increased health 

knowledge

H18: Number of 

individuals reporting a 

change in behavior or 

intent to change

behavior to improve 

their health

H19: Number of

individuals with 

improved health

Outreach 

Education/Training 

Referrals

Medical Services 

Nutrition/Food Support 

Physical Activities 

Counseling/Coaching 

Opioid/Drug Intervention
9

H9A (outcome) Number of individuals who report having increase social support or 

improved capacity for independent living

Definition of 

Key Terms

Individuals: those reported in H4A or V1, V7A, V8

How to 

Measure/ 

Collect Data

Survey, interview, caseworker assessment, or other instrument capable of 

measuring changes in social support or perceived social support and/or 

independent living capacity at the individual beneficiary level. When 

possible, pre-post assessments should be utilized.

AmeriCorps recommends a survey instrument for this measure: AmeriCorps 

Seniors Independent Living Survey.

H12 (outcome) Number of individuals who report increased food security

Definition of

Key Terms

Individuals: those reported in H4A or V1, V7A, V8

Food security: Access at all times to enough food for an active, healthy 

life. Food security includes at a minimum: (1) the ready availability of 

nutritionally adequate and safe foods, and (2) an assured ability to 

acquire acceptable foods in socially acceptable ways (that is, without 

resorting to emergency food supplies, scavenging, stealing, or other 

coping strategies). [USDA]

How to 

Measure/

Collect Data

Survey, interview, caseworker assessment, or other instrument capable of 

measuring changes in food security at the individual beneficiary level. 

When possible, pre-post assessments should be utilized.

H14 (outcome) H14: Number of caregivers of older adults and individuals with disabilities 

who reported having increased social support

Definition of 

Key Terms

Individuals: those reported in H4A or V1, V7A, V8

Older Adults: Individual age 65 or older

Respite Services: Services that provide temporary relief from the stresses of 

caregiving by providing short term assistance to and adult who is the 

primary caregiver for another person.

Social ties/perceived social support: Relationships with other people and 

or the belief that these people will offer (or have offered) effective help 

during times of need.

How to 

Measure/

Collect Data

Programs should collect data for this measure from surveys, interview, 

caseworker assessment, or other instrument capable of measuring 

changes in food security at the individual beneficiary level. When possible, 

pre-post assessments should be utilized.

AmeriCorps recommends a survey instrument for this measure: AmeriCorps 

Seniors Respite Care Performance Measure Survey.
10

H17 (outcome) Number of individuals with increased health knowledge

Definition of

Key Terms

Individuals: those reported in H4A or V1, V7A, V8

How to

Measure/

Collect Data

Survey, test, or other instrument capable of measuring changes in 

knowledge at the individual beneficiary level. When possible, pre-post

assessments should be utilized.

H18 (outcome) Number of individuals reporting a change in behavior or intent to change

behavior to improve their health

Definition of

Key Terms

Individuals: those reported in H4A or V1, V7A, V8

How to 

Measure/ 

Collect Data

Survey, interview, or other instrument capable of measuring changes in

behavior at the individual beneficiary level. When possible, pre-post 

assessments should be utilized.

H18 (outcome) Number of individuals with improved health

Definition of

Key Terms

Individuals: those reported in H4A or V1, V7A, V8

How to 

Measure/ 

Collect Data

Assessment by a healthcare professional, survey, or other instrument 

capable of measuring changes in health condition at the individual 

beneficiary level. When possible, pre-post assessments should be utilized.

H20 (outcome) Number of individuals with improved access to medical care

Definition of

Key Terms

Individuals: those reported in H4A

How to 

Measure/ 

Collect Data

Survey, interview, caseworker assessment, or other instrument capable of 

measuring changes in health care access at the individual beneficiary level. 

When possible, pre-post assessments should be utilized.

Focus Area: Disaster Services

Objective Selection Rules Service Activity

Outputs Outcomes

Assistance 

Provided

D1A: Number of 

individuals served

D5: Number of 

individuals reporting

increased disaster 

readiness

Disaster Preparation 

Disaster Response 

Disaster Recovery

Disaster Mitigation

D6: Number of 

structures 

protected or 

restored

D7: Number of 

structures returned to

regular use after a 

disaster

Disaster Preparation 

Disaster Response

Disaster Recovery
11

Disaster Services Notes:

• These performance measures are intended to measure the impact of activities that help 

individuals and communities prepare, respond, recover, and mitigate disasters, and 

increase community resiliency.

• These activities must be carried out by National Service Participants or by volunteers 

directly recruited and/or supported by National Service Participants.

• All individuals counted under these measures must be program beneficiaries, not 

National Service Participants.

Applicants that select output D1A may select outcome D6.

D1A (output) Number of individuals served

Definition of 

Key Terms

Individuals: recipients of AmeriCorps-supported services related to disaster 

preparedness, response, recovery, and/or mitigation

Served: substantive engagement of individuals with a specific disasterrelated goal in mind. Cannot consist solely of mass dissemination of

information such as email blasts, social media posts, or distributing 

pamphlets.

How to 

Measure/ 

Collect Data

Tracking mechanism that ensures an unduplicated count of individuals 

who have received services

D5 (outcome) Number of individuals reporting increased disaster readiness

Definition of 

Key Terms

Individuals: those reported in measure D1A

Disaster readiness: measures taken to prepare for and reduce the effects 

of future disasters

How to 

Measure/ 

Collect Data

Survey, interview, or other instrument capable of measuring changes in 

disaster readiness at the individual beneficiary level. When possible, prepost assessments should be utilized.

Applicants that select output D6 may select outcome D7. 

D6 (output) Number of structures protected or restored

Definition of 

Key Terms

Structures: housing units or public facilities 

Protected: prepared to more effectively withstand future disasters 

Restored: repaired from damage sustained during a disaster

How to 

Measure/ 

Collect Data

Tracking mechanism that ensures an unduplicated count of structures that 

received services
12

D7 (outcome) Number of structures returned to regular use after a disaster

Definition of 

Key Terms

Structures: those reported in measure D6 

Returned to regular use: able to be used for the same or similar purpose for 

which they were used prior to the disaster

How to 

Measure/ 

Collect Data

Report from structure owner/manager/occupant, or other instrument 

capable of measuring changes in condition at the individual structure 

level.

Focus Area: Economic Opportunity

Economic Opportunity Notes:

• These performance measures are intended to measure the impact of activities that 

support and/or facilitate access to services and resources that contribute to the 

improved economic well-being and security of economically disadvantaged people.

• These activities must be carried out by National Service Participants or by volunteers 

directly recruited and/or supported by National Service Participants.

• All individuals counted under these measures must be program beneficiaries, not 

National Service Participants.

Objective Selection Rules Service Activity

Outputs Outcomes

Employment O1A: Number 

of individuals 

served

O10: Number of 

individuals who secure 

employment

O21: Number of 

individuals with 

improved job readiness

Job Training

Job Placement

GED Education

Other Adult Education

Financial 

Literacy

O1A: Number 

of individuals 

served

O9: Number of 

individuals with 

improved financial 

knowledge

O19A: Dollar value of 

tax returns generated

Financial Literacy Education 

Financial Fraud Prevention 

Tax Preparation

Housing O1A: Number 

of individuals 

served

O11: Number of 

individuals transitioned 

into safe, healthy, 

affordable housing

Housing Unit Development 

Housing Unit Repair

O4: Number of 

housing units 

developed or 

repaired

O20: Number of safe,

healthy, affordable

housing units made 

available

Housing Unit Development

Housing Unit Repair
13

Applicants that select output O1A may select outcome O9, O10, O11, O19A or O21.

O1A (output) Number of individuals served

Definition of 

Key Terms

Individuals: recipients of AmeriCorps Seniors supported services related to 

increasing economic opportunity

Served: substantive engagement of individuals with a specific goal in mind 

related to economic opportunity. Cannot consist solely of mass 

dissemination of information such as email blasts, social media posts, or 

distributing pamphlets.

How to 

Measure/

Collect Data

Tracking mechanism that ensures an unduplicated count of individuals 

who have received services.

O9 (outcome) Number of individuals with improved financial knowledge

Definition of 

Key Terms

Individuals: those reported in measure O1A or V1, V7A, V8

Improved financial knowledge: increased knowledge/understanding of 

financial literacy topics such as credit management, financial institutions 

including banks and credit unions, and utilization of savings plans

How to 

Measure/ 

Collect Data

Survey, interview, or other instrument capable of measuring changes in 

financial knowledge at the individual beneficiary level. When possible, prepost assessments should be utilized.

O10 (outcome) Number of individuals who secure employment

Definition of 

Key Terms

Individuals: those reported in measure O1A

Secure employment: individual is hired in a new job as a result of 

AmeriCorps Seniors supported services provided; individual may have 

been previously working in a different job or previously unemployed.

How to 

Measure/

Collect Data

Preferred method is a copy of acceptance letter from employer or copy 

of first pay stub. Beneficiary self-reports may also be utilized.

O11 (outcome) Number of individuals transitioned into safe, healthy, affordable housing

Definition of 

Key Terms

Individuals: those reported in measure O1A or V1, V7A, V8

Safe, healthy, affordable housing: Grantee certifies that the housing is safe 

and healthy based on an inspection or other documentation. Grantee

defines affordability and certifies that the housing is affordable to the 

individual(s) transitioned into the unit.

How to 

Measure/

Collect Data

Preferred method is a proof of residence such as a lease, mortgage, 

certificate of occupancy, or other verification from an external agency.

Beneficiary self-reports may also be utilized.
14

O19A 

(outcome)

Dollar value of tax returns generated

How to 

Measure/ 

Collect Data

Only the dollar value of tax refunds generated specifically as a result of 

assisting VITA or Tax Tutoring activities provided by AmeriCorps-supported 

organization or assigned national service participant(s) engaged in the 

service activity may be counted.

The organization must keep administrative records or other information

management systems that enable them to track and verify the dollar 

value of tax refunds generated.

O21 (outcome) Number of individuals with improved job readiness

Definition of 

Key Terms

Individuals: those reported in measure O1A or V1, V7A, V8

Improved job readiness: increased knowledge or skills related to seeking, 

obtaining, or successfully retaining a job.

How to 

Measure/ 

Collect Data

Survey, interview, observation, or other instrument capable of measuring 

changes in job readiness at the individual beneficiary level. When possible, 

pre-post assessments should be utilized.

Applicants that select output O4 may select outcome O20.

O4 (output) Number of housing units developed or repaired

Definition of 

Key Terms

Housing unit: A single-family home (including a mobile home if 

permanently placed), an apartment, or a room in a group home for 

people with disabilities

Develop: Build new or substantially rehabilitate housing units that were 

uninhabitable or soon would have become so. Involves replacing major 

systems such as the roof, the plumbing, the wiring, the foundation, or 

elevating the unit as required by a flood plain standard.

Repair: A more modest level of physical work on the unit, such as 

weatherizing, painting, replacing appliances and removing safety hazards

How to 

Measure/ 

Collect Data

Tracking mechanism that ensures an unduplicated count of the number of 

housing units that have received AmeriCorps-supported development or 

repair services

O20 (outcome) Number of safe, healthy, affordable housing units made available

Definition of 

Key Terms

Housing unit: those reported in measure O4

Safe, healthy, affordable housing unit: Grantee certifies that the housing 

unit is safe and healthy based on an inspection or other documentation.

Grantee defines affordability and certifies that the housing unit is 

affordable.

Made available: This count indicates that the work has been completed to 

make the units available, but they may or may not have been occupied.

How to 

Measure/

Collect Data

Tracking mechanism that ensures an unduplicated count of the number of 

safe, healthy, affordable housing units that have been made available
15

Focus Area: Veterans and Military Families

Objective Selection Rules Service Activity

Outputs Outcomes

Veterans & 

Families 

Served

V1: Number of 

veterans served

V7A: Number 

of active 

military 

members 

and/or military 

family members

served

V8: Number of 

veteran family 

members 

served

O9V: Number of 

individuals with 

improved financial 

knowledge

O10V: Number of 

individuals who secure 

employment

O11V: Number of 

individuals transitioned 

into safe/affordable

Housing

O21V: Number of 

individuals with 

improved job readiness

ED11V: Number of 

individuals earning a 

post-secondary 

degree or technical 

certification

H9AV: Number of 

individuals who report 

having increased 

social support or 

improved capacity for 

independent living

H12V: Number of 

individuals who report 

increased food security

H14V: Number of 

caregivers of older 

adults and individuals 

with disabilities who 

reported having 

increased social 

support

H17V: Number of 

individuals with 

increased health 

knowledge

H18V: Number of 

individuals reporting a 

Financial Literacy Education 

Housing Unit Development 

Housing Unit Repair

Housing 

Placement/Assistance 

Job Training

Job Placement 

GED Education

Other Adult Education 

Tutoring

Mentoring

Family Involvement 

Service Learning 

Summer Learning 

Companionship 

Nutrition/Food Support 

Legal Services 

Transportation 

Outreach

Referrals 

Medical Services

Physical Activities 

Counseling/Coaching 

Respite Services 

Opioid/Drug Intervention
16

Veterans and Military Families Notes:

• These performance measures are intended to measure the impact of activities that 

positively impact the quality of life of veterans and improve military family strength.

• For information on O9V, O10V, O11V, O21V, see Economic Opportunity.

• For information on ED11, see Education

• For information on H9AV, H12V, H14V, H17V, H18V, H19V, H20V, see Healthy Futures

• These activities must be carried out by National Service Participants or by volunteers 

directly recruited and/or supported by National Service Participants.

• All individuals counted under these measures must be program beneficiaries, not 

National Service Participants.

Applicants that select outputs V1, V7A, or V8 may select outcome O9V, O10V, O11V, O21V, ED11V, 

H9AV, H12V, H14V, H17V, H18V, H19V, or H20V.

V1 (output) Number of veterans served

Definition of 

Key Terms

Veteran: a person who served in the active military, naval, or air service, 

and who was discharged or released therefrom under conditions other 

than dishonorable [Section 101 of Title 38, 23 United States Code]

Served: substantive engagement of individuals with specific outcome(s) in 

mind. Cannot consist solely of mass dissemination of information such as 

email blasts, social media posts, or distributing pamphlets.

How to 

Measure/

Collect Data

Tracking mechanism that ensures an unduplicated count of individuals 

who have received services

Objective Selection Rules Service Activity

Outputs Outcomes

change in behavior or 

intent to change 

behavior to improve 

their health

H19V: Number of 

individuals with 

improved health

H20V: Number of 

individuals with 

improved access to 

medical care
17

V7A (output) Number of active duty military service members and/or military family 

members served

Definition of

Key Terms

Active duty military service member: The term ‘‘active duty’’ means “fulltime duty in the active military service of the United States, including active 

duty or full-time training duty in the Reserve Component” [DOD Dictionary 

of Military and Associated Terms, April 2018]. AmeriCorps considers 

National Guard members and reservists and wounded warriors sub-groups 

of active duty military service members for the purposes of grant 

applications and performance measure reporting.

Military family member: Immediate family member related by blood, 

marriage, or adoption to a current member of the U.S. armed forces 

including one who is deceased.

Served: substantive engagement of individuals with specific outcome(s) in 

mind. Cannot consist solely of mass dissemination of information such as 

email blasts, social media posts, or distributing pamphlets.

How to 

Measure/

Collect Data

Tracking mechanism that ensures an unduplicated count of individuals 

who have received services

V8 (output) Number of veteran family members served

Definition of 

Key Terms

Veteran: a person who served in the active military, naval, or air service, 

and who was discharged or released therefrom under conditions other 

than dishonorable [Section 101 of Title 38, 23 United States Code]

Veteran family member: Immediate family member related by blood, 

marriage, or adoption to a veteran, including one who is deceased.

Served: substantive engagement of individuals with specific outcome(s) in 

mind. Cannot consist solely of mass dissemination of information such as 

email blasts, social media posts, or distributing pamphlets.

How to 

Measure/

Collect Data

Tracking mechanism that ensures an unduplicated count of individuals 

who have received services
18

AmeriCorps Seniors Independent Living Performance Measure 

Survey

Thank you for taking the time to complete this survey. We would like to 

know how the Senior Companion Volunteer who has been assisting you 

has affected your life.

All information will be kept confidential; please do not disclose your name. 

You may choose not to answer a question. 

This 1st question is about how many hours of service that you may have 

received in the past 4 weeks from your senior companion. 

Tell us how many TOTAL HOURS in a typical week you received services. 

Here is an example of how Mrs. Jones would answer question #1:

Her Senior Companion usually spends one hour on Monday with and two 

hours on Wednesday. Therefore, the total hours a week that she receives 

services is 3 hours a week.

1. In a typical week, my Senior Companion Volunteer 

is with me for hours

Please turn the page for the questions 2-13
19

Because I Have a Senior Companion Volunteer ... 

Strongly 

Disagree

Somewhat 

Disagree

Somewhat 

Agree

Strongly 

Agree

2) ... I feel less lonely.

3) ... I feel I have close ties to 

other people.

4) ... I am able to do the things I 

need to do.

5) ... I am able to do most 

things I want to do.

6) ... I am more satisfied with 

my life.

7) ... I can remain living in my 

own home.

8) ... I am able to get to the 

grocery store.

9) ... I am able to get to medical 

appointments.

10) ... I am able to take care of 

other necessary 

errands/appointments.

11) ... I am eating regularly 

scheduled meals.

12) Overall, I am satisfied with 

my Senior Companion 

volunteer.

13) Overall, the Senior 

Companion Program has met 

my expectations.
20

AmeriCorps Seniors Respite Care Performance Measure Survey

Thank you for taking the time to complete this survey. We would like to 

know how the Senior Companion Volunteer who has been providing respite 

care you has affected your life (as the caregiver).

All information will be kept confidential; please do not disclose your name. 

You may choose not to answer a question. 

This 1st question is about how many hours of respite service that you may 

have received in the past 4 weeks from your senior companion. 

Tell us how many TOTAL HOURS in a typical week you received respite 

services. 

Here is an example of how Mrs. Jones would answer question #1:

Her Senior Companion usually spends one hour on Monday with and two 

hours on Wednesday providing respite services. Therefore, the total hours 

a week that she receives respite services is 3 hours a week.

1. In a typical week, my Senior Companion 

Volunteer is with me for hours 

of respite

Please turn the page for the questions 2-12
21

Because I Have a Senior Companion Volunteer assisting with Respite 

Care...

Strongly 

Disagree

Somewhat 

Disagree

Somewhat 

Agree

Strongly 

Agree

2) ... I feel less lonely.

3) ... I feel I have close ties to 

other people.

4) ... I am able to do the things I 

need to do.

5) ... I am able to do most 

things I want to do.

6) ... I am more satisfied with 

my life.

7) ... The person I care for is 

able to remain at home.

8) ... I am able to get short-term 

rest and relief.

9) ... I am able to find time to 

run errands.

10) ... I am able find time to 

attend to my personal and 

health care needs.

11) Overall, I am satisfied with 

the Caregiver Respite Senior 

Companion volunteer.

12) Overall, the Senior 

Companion Program has met 

my expectations.