AmeriCorps Seniors RSVP Work Plan 

Development Worksheets

Overview and Instructions

Overview

This is an optional tool to help you plan placement of your volunteers in Performance Measures for the three-year 

performance period, as specified in the NOFO and Grant Application Instructions. By using these templates to preplan 

how your volunteers will be placed in service opportunities and activities, you can plot the scope of your AmeriCorps 

Seniors RSVP project and your Work Plans. Additionally, the completed worksheets can be used as reference when you 

enter your Work Plan data into the eGrants System. 

Instructions

1) As you complete these worksheets, we encourage you to reference the resources available on the 

Manage AmeriCorps Seniors Grants page, particularly:

a. The Notice of Funding Opportunity (NOFO)

b. Appendix B: AmeriCorps Seniors RSVP National Performance Measure Instructions

c. Grants Application Instructions Volume I 

2) Use the following definitions when calculating “Total Number of Unduplicated Volunteers” and 

“Total Number of Volunteers”:

• Number of Unduplicated Volunteers: This is the proposed number of volunteers who will be 

performing each service activity. Each volunteer can only be counted once when assigned to a 

service activity. The volunteer should be counted in the area where he/she will make the most 

impact- in terms of the type of service or in terms of the scope of service, such as the most number of 

hours served.

• Total Number of Volunteers: The total number of volunteers engaged in the activities, if you were 

to assign all of them according to each activity, will be entered in this section. In this way, volunteers 

can be counted more than once- for example, if the same volunteer does two different types of 

activities such as meal delivery AND companionship, you can account for all assignments in this 

field.

TIP: When completing these worksheets and entering your volunteer numbers into the eGrants System, 

remember that the sum of the Number of Unduplicated Volunteers from each work plan must equal the 

Total Number of Unduplicated Volunteers for the project. 
Volunteer Calculations: 

1) The total number of unduplicated volunteers in your proposed project: ______

This is the number is that appears in the column labelled “Number of Unduplicated Volunteers” for the service area 

that you intend to serve in Appendix A to the NOFO. 

Figure 1 – Use this column to identify the total number of unduplicated volunteers required for the service area for which 

you intend to apply.

2) The total number of unduplicated volunteers you must program into work plans that result in national 

performance measure outcomes = ________ volunteers

As explained the NOFO, to find this number, divide the annual federal funding you are requesting by $1,000. For 

example, an applicant requesting $100,000 would be required to program 100 unduplicated volunteers into work 

plans that result in national performance measure outcomes. An applicant requesting $50,000 would be required to

program 50 unduplicated volunteers into work plans that result in national performance measure outcomes. As 

stated the NOFO, applicants must propose a budget that utilizes no more than the federal funding associated with the 

opportunity listed in Appendix A.

Figure 2 – Use this column to identify the maximum available funding for the service area for which you intend to apply. 

If you request the maximum amount of funding available, you would divide this figure by $1,000 to determine the number 

of unduplicated volunteers you must program into work plans that result in national performance measure outcomes.

3) Your remaining number of unduplicated volunteers, if any = ________ volunteers

This is the number you entered in Step 1 above minus the number you entered in Step 2. These volunteers may either 

be programmed into work plans that result in result in national performance measure outcomes OR Other 

Community Priorities.

4) Select your primary focus area 

 Education  Healthy Futures  Economic Opportunity 

 Veterans and Military Families  Environmental Stewardship  Disaster Services

You must submit at least one work plan with service in the primary focus area you choose. The primary focus area 

should represent the area in which an applicant intends to make the most impact. 
5) Use the worksheets below as needed to plan placement for your unduplicated volunteers and draft your work 

plans.

Work plans use annual figures/ Use the number of unduplicated volunteers, outputs and outcomes you intend to 

achieve in Year 3 of your program. If awarded, you will be able to make progress towards those goals in Year 1 and 

Year 2 of your grant.

6) For each service activity, you will create a new work plan. This is required in eGrants. All of the information in 

the worksheets below is required for each work plan that results in national performance measure outcomes. You 

will use a new sheet to draft each of these work plans. Ten sheets are provided. You may copy and paste more if 

you would like more. You will need to replace all text enclosed in brackets and colored red: [Red].

7) The 11th Worksheet in this document may be used for Other Community Priorities volunteers. See the specific 

instructions on that sheet for more information. 

8) When you are done, check your work. Ensure that the total number of unduplicated volunteers equals the Year 3 

requirement for unduplicated volunteers in work plans that result in national performance measure outcomes 

plus any remaining unduplicated volunteers.

The table below contains an example for an applicant that requests $100,000 in funding to support a service area with 

a minimum of 200 unduplicated volunteers: 

Funding Requested (No 

more than what is listed 

in App. A)

Total Unduplicated 

Volunteers in Appendix 

A

Total Unduplicated 

Volunteers Required in 

National Performance 

Measure Work Plans

Remaining Unduplicated 

Volunteers (May Be 

Programmed EITHER in 

National Performance 

Measure Work Plans OR

Other Community 

Priorities

Ex.

$75,000 200 $75,000/$1,000 = 75

200-75= 

125

9) Once you have completed these worksheets and you are ready to enter Work Plan data into the eGrants System, 

please refer back to the Grant Application Instructions for step-by-step instructions on how to enter data into the 

Performance Measures and Work Plans Module.
1

Work Plan Development Worksheet Focus Area: [Choose One] Objective: [Choose One]

Community Need:

[Complete on your own, using the prompts in the NOFO and Grant Application Instructions]

A B C D E F G H I J

Output Output 

Instrument

Service Activity 

(each selected will 

generate a separate 

work plan)

# of 

Unduplicated 

Volunteers

# of Total 

Volunteers

# of 

Volunteer 

Stations

Output 

Target

Outcome Outcome 

Instrument

Outcome 

Target

[Choose one of the 

output measures 

listed in the table 

alongside this 

Objective in Appendix 

B. For example, D1A: 

Number of individuals 

served is an output 

associated with the

“Assistance Provided” 

Objective in the 

Disaster Services 

Focus Area]

[Choose the 

option that 

best 

describes 

the tool you 

will use to 

measure 

the number 

of outputs 

achieved.]

[Complete from the 

available Service 

Activities in the table 

alongside this 

output. For example, 

“Disaster 

Preparation” is a 

Service Activity 

listed with the 

output D1A]

[Identify how 

many 

unduplicated 

volunteers 

will have this 

as the area 

where he/she 

intends to 

make the 

most impact]

[Identify 

how many 

volunteers

in all will 

contribute 

to this 

work plan]

[Identify 

how many 

stations 

will 

contribute 

to this 

work 

plan]

[Estimate 

your 

target for 

the 

output 

you 

identified

in Column 

A]

[Choose one of the 

outcome measures listed 

in the table alongside 

this output. For example, 

D5: Number of 

individuals reporting 

increased disaster 

readiness is the only 

outcome associated with 

output D1A]

[Choose the 

option that 

best 

describes 

the tool you 

will use to 

measure 

the number 

of outputs 

achieved.]

[Estimate 

your target 

for the 

output you 

identified

in Column 

A]

Total number of unduplicated volunteers in National Performance Measure Work Plans: _[COMPLETE]_________

Update this as you complete work plans to reflect the cumulative number of unduplicated volunteers programmed into National Performance Measure Work Plans. For 

example, if this is the first work plan I have completed, and I have included 10 Unduplicated Volunteers in Column D, the value would be 10. If this is my second, and I have 

included 10 Unduplicated Volunteers in Column D in each work plan, it would be 20, and so on. 

Service Activity Description(s)

[Complete on your own, using the prompts in the NOFO, Appendix B, and the Grant Application Instructions. Be sure to provide all the information requested.]

Output Instrument Description(s)

[Complete on your own, using the prompts in the NOFO, Appendix B, and the Grant Application Instructions. Be sure to provide all the information requested.]

Outcome Instrument Description(s)

[Complete on your own, using the prompts in the NOFO, Appendix B, and the Grant Application Instructions. Be sure to provide all the information requested.]
2

Work Plan Development Worksheet Focus Area: [Choose One] Objective: [Choose One]

Community Need:

[Complete on your own, using the prompts in the NOFO and Grant Application Instructions]

A B C D E F G H I J

Output Output 

Instrument

Service Activity 

(each selected will 

generate a separate 

work plan)

# of 

Unduplicated 

Volunteers

# of Total 

Volunteers

# of 

Volunteer 

Stations

Output 

Target

Outcome Outcome 

Instrument

Outcome 

Target

[Choose one of the 

output measures 

listed in the table 

alongside this 

Objective in Appendix 

B. For example, D1A: 

Number of individuals 

served is an output 

associated with the 

“Assistance Provided” 

Objective in the 

Disaster Services 

Focus Area]

[Choose the 

option that 

best 

describes 

the tool you 

will use to 

measure 

the number 

of outputs 

achieved.]

[Complete from the 

available Service 

Activities in the table 

alongside this 

output. For example, 

“Disaster 

Preparation” is a 

Service Activity 

listed with the 

output D1A]

[Identify how 

many 

unduplicated 

volunteers 

will have this

as the area 

where he/she 

intends to 

make the 

most impact]

[Identify 

how many 

volunteers 

in all will 

contribute 

to this 

work plan]

[Identify 

how many 

stations 

will 

contribute 

to this 

work 

plan]

[Estimate 

your 

target for 

the 

output 

you 

identified

in Column 

A]

[Choose one of the 

outcome measures listed 

in the table alongside 

this output. For example, 

D5: Number of 

individuals reporting 

increased disaster 

readiness is the only 

outcome associated with 

output D1A]

[Choose the 

option that 

best 

describes 

the tool you 

will use to 

measure 

the number 

of outputs 

achieved.]

[Estimate 

your target 

for the 

output you 

identified

in Column 

A]

Total number of unduplicated volunteers in National Performance Measure Work Plans: _[COMPLETE]_________

Update this as you complete work plans to reflect the cumulative number of unduplicated volunteers programmed into National Performance Measure Work Plans. For 

example, if this is the first work plan I have completed, and I have included 10 Unduplicated Volunteers in Column D, the value would be 10. If this is my second, and I have 

included 10 Unduplicated Volunteers in Column D in each work plan, it would be 20, and so on. 

Service Activity Description(s)

[Complete on your own, using the prompts in the NOFO, Appendix B, and the Grant Application Instructions. Be sure to provide all the information requested.]

Output Instrument Description(s)

[Complete on your own, using the prompts in the NOFO, Appendix B, and the Grant Application Instructions. Be sure to provide all the information requested.]

Outcome Instrument Description(s)

[Complete on your own, using the prompts in the NOFO, Appendix B, and the Grant Application Instructions. Be sure to provide all the information requested.]
3

Work Plan Development Worksheet Focus Area: [Choose One] Objective: [Choose One]

Community Need:

[Complete on your own, using the prompts in the NOFO and Grant Application Instructions]

A B C D E F G H I J

Output Output 

Instrument

Service Activity 

(each selected will 

generate a separate 

work plan)

# of 

Unduplicated 

Volunteers

# of Total 

Volunteers

# of 

Volunteer 

Stations

Output 

Target

Outcome Outcome 

Instrument

Outcome 

Target

[Choose one of the 

output measures 

listed in the table 

alongside this 

Objective in Appendix 

B. For example, D1A: 

Number of individuals 

served is an output 

associated with the 

“Assistance Provided” 

Objective in the 

Disaster Services 

Focus Area]

[Choose the 

option that 

best 

describes 

the tool you 

will use to 

measure 

the number 

of outputs 

achieved.]

[Complete from the 

available Service 

Activities in the table 

alongside this 

output. For example, 

“Disaster 

Preparation” is a 

Service Activity 

listed with the 

output D1A]

[Identify how 

many 

unduplicated 

volunteers 

will have this 

as the area 

where he/she 

intends to 

make the 

most impact]

[Identify 

how many 

volunteers 

in all will 

contribute 

to this 

work plan]

[Identify 

how many 

stations 

will 

contribute 

to this 

work 

plan]

[Estimate 

your 

target for 

the 

output 

you 

identified

in Column 

A]

[Choose one of the 

outcome measures listed 

in the table alongside 

this output. For example, 

D5: Number of 

individuals reporting 

increased disaster 

readiness is the only 

outcome associated with 

output D1A]

[Choose the 

option that 

best 

describes 

the tool you 

will use to 

measure 

the number 

of outputs 

achieved.]

[Estimate 

your target 

for the 

output you 

identified

in Column 

A]

Total number of unduplicated volunteers in National Performance Measure Work Plans: _[COMPLETE]_________

Update this as you complete work plans to reflect the cumulative number of unduplicated volunteers programmed into National Performance Measure Work Plans. For 

example, if this is the first work plan I have completed, and I have included 10 Unduplicated Volunteers in Column D, the value would be 10. If this is my second, and I have 

included 10 Unduplicated Volunteers in Column D in each work plan, it would be 20, and so on. 

Service Activity Description(s)

[Complete on your own, using the prompts in the NOFO, Appendix B, and the Grant Application Instructions. Be sure to provide all the information requested.]

Output Instrument Description(s)

[Complete on your own, using the prompts in the NOFO, Appendix B, and the Grant Application Instructions. Be sure to provide all the information requested.]

Outcome Instrument Description(s)

[Complete on your own, using the prompts in the NOFO, Appendix B, and the Grant Application Instructions. Be sure to provide all the information requested.]
4

Work Plan Development Worksheet Focus Area: [Choose One] Objective: [Choose One]

Community Need:

[Complete on your own, using the prompts in the NOFO and Grant Application Instructions]

A B C D E F G H I J

Output Output 

Instrument

Service Activity 

(each selected will 

generate a separate 

work plan)

# of 

Unduplicated 

Volunteers

# of Total 

Volunteers

# of 

Volunteer 

Stations

Output 

Target

Outcome Outcome 

Instrument

Outcome 

Target

[Choose one of the 

output measures 

listed in the table 

alongside this 

Objective in Appendix 

B. For example, D1A: 

Number of individuals 

served is an output 

associated with the 

“Assistance Provided” 

Objective in the 

Disaster Services 

Focus Area]

[Choose the 

option that 

best 

describes 

the tool you 

will use to 

measure 

the number 

of outputs 

achieved.]

[Complete from the 

available Service 

Activities in the table 

alongside this 

output. For example, 

“Disaster 

Preparation” is a 

Service Activity 

listed with the 

output D1A]

[Identify how 

many 

unduplicated 

volunteers 

will have this 

as the area 

where he/she 

intends to 

make the 

most impact]

[Identify 

how many 

volunteers 

in all will 

contribute 

to this 

work plan]

[Identify 

how many 

stations 

will 

contribute 

to this 

work 

plan]

[Estimate 

your 

target for 

the 

output 

you 

identified

in Column 

A]

[Choose one of the 

outcome measures listed 

in the table alongside 

this output. For example, 

D5: Number of 

individuals reporting 

increased disaster 

readiness is the only

outcome associated with 

output D1A]

[Choose the 

option that 

best 

describes 

the tool you 

will use to 

measure 

the number 

of outputs 

achieved.]

[Estimate 

your target 

for the 

output you 

identified

in Column 

A]

Total number of unduplicated volunteers in National Performance Measure Work Plans: _[COMPLETE]_________

Update this as you complete work plans to reflect the cumulative number of unduplicated volunteers programmed into National Performance Measure Work Plans. For 

example, if this is the first work plan I have completed, and I have included 10 Unduplicated Volunteers in Column D, the value would be 10. If this is my second, and I have 

included 10 Unduplicated Volunteers in Column D in each work plan, it would be 20, and so on. 

Service Activity Description(s)

[Complete on your own, using the prompts in the NOFO, Appendix B, and the Grant Application Instructions. Be sure to provide all the information requested.]

Output Instrument Description(s)

[Complete on your own, using the prompts in the NOFO, Appendix B, and the Grant Application Instructions. Be sure to provide all the information requested.]

Outcome Instrument Description(s)

[Complete on your own, using the prompts in the NOFO, Appendix B, and the Grant Application Instructions. Be sure to provide all the information requested.]
5

Work Plan Development Worksheet Focus Area: [Choose One] Objective: [Choose One]

Community Need:

[Complete on your own, using the prompts in the NOFO and Grant Application Instructions]

A B C D E F G H I J

Output Output 

Instrument

Service Activity 

(each selected will 

generate a separate 

work plan)

# of 

Unduplicated 

Volunteers

# of Total 

Volunteers

# of 

Volunteer 

Stations

Output 

Target

Outcome Outcome 

Instrument

Outcome 

Target

[Choose one of the 

output measures 

listed in the table 

alongside this 

Objective in Appendix 

B. For example, D1A: 

Number of individuals 

served is an output 

associated with the 

“Assistance Provided” 

Objective in the 

Disaster Services 

Focus Area]

[Choose the 

option that 

best 

describes 

the tool you 

will use to 

measure 

the number 

of outputs 

achieved.]

[Complete from the 

available Service 

Activities in the table 

alongside this 

output. For example, 

“Disaster 

Preparation” is a 

Service Activity 

listed with the 

output D1A]

[Identify how 

many 

unduplicated 

volunteers 

will have this 

as the area 

where he/she 

intends to 

make the 

most impact]

[Identify 

how many 

volunteers 

in all will 

contribute 

to this 

work plan]

[Identify 

how many 

stations 

will 

contribute 

to this 

work 

plan]

[Estimate 

your 

target for 

the 

output 

you 

identified

in Column 

A]

[Choose one of the 

outcome measures listed 

in the table alongside 

this output. For example, 

D5: Number of 

individuals reporting

increased disaster 

readiness is the only 

outcome associated with 

output D1A]

[Choose the 

option that 

best 

describes 

the tool you 

will use to 

measure 

the number 

of outputs 

achieved.]

[Estimate 

your target 

for the 

output you 

identified

in Column 

A]

Total number of unduplicated volunteers in National Performance Measure Work Plans: _[COMPLETE]_________

Update this as you complete work plans to reflect the cumulative number of unduplicated volunteers programmed into National Performance Measure Work Plans. For 

example, if this is the first work plan I have completed, and I have included 10 Unduplicated Volunteers in Column D, the value would be 10. If this is my second, and I have 

included 10 Unduplicated Volunteers in Column D in each work plan, it would be 20, and so on. 

Service Activity Description(s)

[Complete on your own, using the prompts in the NOFO, Appendix B, and the Grant Application Instructions. Be sure to provide all the information requested.]

Output Instrument Description(s)

[Complete on your own, using the prompts in the NOFO, Appendix B, and the Grant Application Instructions. Be sure to provide all the information requested.]

Outcome Instrument Description(s)

[Complete on your own, using the prompts in the NOFO, Appendix B, and the Grant Application Instructions. Be sure to provide all the information requested.]
6

Work Plan Development Worksheet Focus Area: [Choose One] Objective: [Choose One]

Community Need:

[Complete on your own, using the prompts in the NOFO and Grant Application Instructions]

A B C D E F G H I J

Output Output 

Instrument

Service Activity 

(each selected will 

generate a separate 

work plan)

# of 

Unduplicated 

Volunteers

# of Total 

Volunteers

# of 

Volunteer 

Stations

Output 

Target

Outcome Outcome 

Instrument

Outcome 

Target

[Choose one of the 

output measures 

listed in the table 

alongside this 

Objective in Appendix 

B. For example, D1A: 

Number of individuals 

served is an output 

associated with the 

“Assistance Provided” 

Objective in the 

Disaster Services 

Focus Area]

[Choose the 

option that 

best 

describes 

the tool you 

will use to 

measure 

the number 

of outputs 

achieved.]

[Complete from the 

available Service 

Activities in the table 

alongside this 

output. For example, 

“Disaster 

Preparation” is a 

Service Activity 

listed with the 

output D1A]

[Identify how 

many 

unduplicated 

volunteers 

will have this 

as the area 

where he/she 

intends to 

make the 

most impact]

[Identify 

how many 

volunteers 

in all will 

contribute 

to this 

work plan]

[Identify 

how many 

stations 

will 

contribute 

to this 

work 

plan]

[Estimate 

your 

target for 

the 

output 

you 

identified

in Column 

A]

[Choose one of the 

outcome measures listed 

in the table alongside 

this output. For example, 

D5: Number of 

individuals reporting 

increased disaster 

readiness is the only 

outcome associated with 

output D1A]

[Choose the 

option that 

best 

describes 

the tool you 

will use to 

measure 

the number 

of outputs 

achieved.]

[Estimate 

your target 

for the 

output you 

identified

in Column 

A]

Total number of unduplicated volunteers in National Performance Measure Work Plans: _[COMPLETE]_________

Update this as you complete work plans to reflect the cumulative number of unduplicated volunteers programmed into National Performance Measure Work Plans. For 

example, if this is the first work plan I have completed, and I have included 10 Unduplicated Volunteers in Column D, the value would be 10. If this is my second, and I have 

included 10 Unduplicated Volunteers in Column D in each work plan, it would be 20, and so on. 

Service Activity Description(s)

[Complete on your own, using the prompts in the NOFO, Appendix B, and the Grant Application Instructions. Be sure to provide all the information requested.]

Output Instrument Description(s)

[Complete on your own, using the prompts in the NOFO, Appendix B, and the Grant Application Instructions. Be sure to provide all the information requested.]

Outcome Instrument Description(s)

[Complete on your own, using the prompts in the NOFO, Appendix B, and the Grant Application Instructions. Be sure to provide all the information requested.]
7

Work Plan Development Worksheet Focus Area: [Choose One] Objective: [Choose One]

Community Need:

[Complete on your own, using the prompts in the NOFO and Grant Application Instructions]

A B C D E F G H I J

Output Output 

Instrument

Service Activity 

(each selected will 

generate a separate 

work plan)

# of 

Unduplicated 

Volunteers

# of Total 

Volunteers

# of 

Volunteer 

Stations

Output 

Target

Outcome Outcome 

Instrument

Outcome 

Target

[Choose one of the 

output measures 

listed in the table 

alongside this 

Objective in Appendix 

B. For example, D1A: 

Number of individuals 

served is an output 

associated with the 

“Assistance Provided” 

Objective in the 

Disaster Services 

Focus Area]

[Choose the 

option that 

best 

describes 

the tool you 

will use to 

measure 

the number 

of outputs 

achieved.]

[Complete from the 

available Service 

Activities in the table 

alongside this 

output. For example, 

“Disaster 

Preparation” is a 

Service Activity 

listed with the 

output D1A]

[Identify how 

many 

unduplicated 

volunteers 

will have this 

as the area 

where he/she 

intends to 

make the 

most impact]

[Identify 

how many 

volunteers 

in all will 

contribute 

to this 

work plan]

[Identify 

how many 

stations 

will 

contribute 

to this 

work 

plan]

[Estimate 

your 

target for 

the 

output 

you 

identified

in Column 

A]

[Choose one of the 

outcome measures listed 

in the table alongside 

this output. For example, 

D5: Number of 

individuals reporting 

increased disaster 

readiness is the only 

outcome associated with 

output D1A]

[Choose the 

option that 

best 

describes 

the tool you 

will use to 

measure 

the number 

of outputs 

achieved.]

[Estimate 

your target 

for the 

output you 

identified

in Column 

A]

Total number of unduplicated volunteers in National Performance Measure Work Plans: _[COMPLETE]_________

Update this as you complete work plans to reflect the cumulative number of unduplicated volunteers programmed into National Performance Measure Work Plans. For 

example, if this is the first work plan I have completed, and I have included 10 Unduplicated Volunteers in Column D, the value would be 10. If this is my second, and I have 

included 10 Unduplicated Volunteers in Column D in each work plan, it would be 20, and so on. 

Service Activity Description(s)

[Complete on your own, using the prompts in the NOFO, Appendix B, and the Grant Application Instructions. Be sure to provide all the information requested.]

Output Instrument Description(s)

[Complete on your own, using the prompts in the NOFO, Appendix B, and the Grant Application Instructions. Be sure to provide all the information requested.]

Outcome Instrument Description(s)

[Complete on your own, using the prompts in the NOFO, Appendix B, and the Grant Application Instructions. Be sure to provide all the information requested.]
8

Work Plan Development Worksheet Focus Area: [Choose One] Objective: [Choose One]

Community Need:

[Complete on your own, using the prompts in the NOFO and Grant Application Instructions]

A B C D E F G H I J

Output Output 

Instrument

Service Activity 

(each selected will 

generate a separate 

work plan)

# of 

Unduplicated 

Volunteers

# of Total 

Volunteers

# of 

Volunteer 

Stations

Output 

Target

Outcome Outcome 

Instrument

Outcome 

Target

[Choose one of the 

output measures 

listed in the table 

alongside this 

Objective in Appendix 

B. For example, D1A: 

Number of individuals 

served is an output 

associated with the 

“Assistance Provided” 

Objective in the 

Disaster Services 

Focus Area]

[Choose the 

option that 

best 

describes 

the tool you 

will use to 

measure 

the number 

of outputs 

achieved.]

[Complete from the 

available Service 

Activities in the table 

alongside this 

output. For example, 

“Disaster 

Preparation” is a 

Service Activity 

listed with the 

output D1A]

[Identify how 

many 

unduplicated 

volunteers 

will have this 

as the area 

where he/she 

intends to 

make the 

most impact]

[Identify 

how many 

volunteers 

in all will 

contribute 

to this 

work plan]

[Identify 

how many 

stations 

will 

contribute 

to this 

work 

plan]

[Estimate 

your 

target for 

the 

output 

you 

identified

in Column 

A]

[Choose one of the 

outcome measures listed 

in the table alongside 

this output. For example, 

D5: Number of 

individuals reporting 

increased disaster 

readiness is the only 

outcome associated with 

output D1A]

[Choose the 

option that 

best 

describes 

the tool you 

will use to 

measure 

the number 

of outputs 

achieved.]

[Estimate 

your target 

for the 

output you 

identified

in Column 

A]

Total number of unduplicated volunteers in National Performance Measure Work Plans: _[COMPLETE]_________

Update this as you complete work plans to reflect the cumulative number of unduplicated volunteers programmed into National Performance Measure Work Plans. For

example, if this is the first work plan I have completed, and I have included 10 Unduplicated Volunteers in Column D, the value would be 10. If this is my second, and I have 

included 10 Unduplicated Volunteers in Column D in each work plan, it would be 20, and so on. 

Service Activity Description(s)

[Complete on your own, using the prompts in the NOFO, Appendix B, and the Grant Application Instructions. Be sure to provide all the information requested.]

Output Instrument Description(s)

[Complete on your own, using the prompts in the NOFO, Appendix B, and the Grant Application Instructions. Be sure to provide all the information requested.]

Outcome Instrument Description(s)

[Complete on your own, using the prompts in the NOFO, Appendix B, and the Grant Application Instructions. Be sure to provide all the information requested.]
9

Work Plan Development Worksheet Focus Area: [Choose One] Objective: [Choose One]

Community Need:

[Complete on your own, using the prompts in the NOFO and Grant Application Instructions]

A B C D E F G H I J

Output Output 

Instrument

Service Activity 

(each selected will 

generate a separate 

work plan)

# of 

Unduplicated 

Volunteers

# of Total 

Volunteers

# of 

Volunteer 

Stations

Output 

Target

Outcome Outcome 

Instrument

Outcome 

Target

[Choose one of the 

output measures 

listed in the table 

alongside this 

Objective in Appendix 

B. For example, D1A: 

Number of individuals 

served is an output 

associated with the 

“Assistance Provided” 

Objective in the 

Disaster Services 

Focus Area]

[Choose the 

option that 

best 

describes 

the tool you 

will use to 

measure 

the number 

of outputs 

achieved.]

[Complete from the 

available Service 

Activities in the table 

alongside this 

output. For example, 

“Disaster 

Preparation” is a 

Service Activity 

listed with the 

output D1A]

[Identify how 

many 

unduplicated 

volunteers 

will have this 

as the area 

where he/she 

intends to 

make the 

most impact]

[Identify 

how many 

volunteers 

in all will 

contribute 

to this 

work plan]

[Identify 

how many 

stations 

will 

contribute 

to this 

work 

plan]

[Estimate 

your 

target for 

the 

output 

you 

identified

in Column 

A]

[Choose one of the 

outcome measures listed 

in the table alongside 

this output. For example, 

D5: Number of 

individuals reporting 

increased disaster 

readiness is the only 

outcome associated with 

output D1A]

[Choose the 

option that 

best 

describes 

the tool you 

will use to 

measure 

the number 

of outputs 

achieved.]

[Estimate 

your target 

for the 

output you 

identified

in Column 

A]

Total number of unduplicated volunteers in National Performance Measure Work Plans: _[COMPLETE]_________

Update this as you complete work plans to reflect the cumulative number of unduplicated volunteers programmed into National Performance Measure Work Plans. For 

example, if this is the first work plan I have completed, and I have included 10 Unduplicated Volunteers in Column D, the value would be 10. If this is my second, and I have 

included 10 Unduplicated Volunteers in Column D in each work plan, it would be 20, and so on. 

Service Activity Description(s)

[Complete on your own, using the prompts in the NOFO, Appendix B, and the Grant Application Instructions. Be sure to provide all the information requested.]

Output Instrument Description(s)

[Complete on your own, using the prompts in the NOFO, Appendix B, and the Grant Application Instructions. Be sure to provide all the information requested.]

Outcome Instrument Description(s)

[Complete on your own, using the prompts in the NOFO, Appendix B, and the Grant Application Instructions. Be sure to provide all the information requested.]
10

Work Plan Development Worksheet Focus Area: [Choose One] Objective: [Choose One]

Community Need:

[Complete on your own, using the prompts in the NOFO and Grant Application Instructions]

A B C D E F G H I J

Output Output 

Instrument

Service Activity 

(each selected will 

generate a separate 

work plan)

# of 

Unduplicated 

Volunteers

# of Total 

Volunteers

# of 

Volunteer 

Stations

Output 

Target

Outcome Outcome 

Instrument

Outcome 

Target

[Choose one of the 

output measures 

listed in the table 

alongside this 

Objective in Appendix 

B. For example, D1A: 

Number of individuals 

served is an output 

associated with the 

“Assistance Provided” 

Objective in the 

Disaster Services 

Focus Area]

[Choose the 

option that 

best 

describes 

the tool you 

will use to 

measure 

the number 

of outputs 

achieved.]

[Complete from the 

available Service 

Activities in the table 

alongside this 

output. For example, 

“Disaster 

Preparation” is a 

Service Activity 

listed with the 

output D1A]

[Identify how 

many 

unduplicated 

volunteers 

will have this 

as the area 

where he/she 

intends to 

make the 

most impact]

[Identify 

how many 

volunteers 

in all will 

contribute 

to this 

work plan]

[Identify 

how many 

stations 

will 

contribute 

to this

work 

plan]

[Estimate 

your 

target for 

the 

output 

you 

identified

in Column 

A]

[Choose one of the 

outcome measures listed 

in the table alongside 

this output. For example, 

D5: Number of 

individuals reporting 

increased disaster 

readiness is the only 

outcome associated with 

output D1A]

[Choose the 

option that 

best 

describes 

the tool you 

will use to 

measure 

the number 

of outputs 

achieved.]

[Estimate 

your target 

for the 

output you 

identified

in Column 

A]

Total number of unduplicated volunteers in National Performance Measure Work Plans: _[COMPLETE]_________

Update this as you complete work plans to reflect the cumulative number of unduplicated volunteers programmed into National Performance Measure Work Plans. For 

example, if this is the first work plan I have completed, and I have included 10 Unduplicated Volunteers in Column D, the value would be 10. If this is my second, and I have

included 10 Unduplicated Volunteers in Column D in each work plan, it would be 20, and so on. 

Service Activity Description(s)

[Complete on your own, using the prompts in the NOFO, Appendix B, and the Grant Application Instructions. Be sure to provide all the information requested.]

Output Instrument Description(s)

[Complete on your own, using the prompts in the NOFO, Appendix B, and the Grant Application Instructions. Be sure to provide all the information requested.]

Outcome Instrument Description(s)

[Complete on your own, using the prompts in the NOFO, Appendix B, and the Grant Application Instructions. Be sure to provide all the information requested.]
11

Work Plan Development Worksheet Focus Area: OTHER COMMUNITY PRIORITIES Objective: OTHER COMMUNITY PRIORITIES

Community Need:

[This section is required for Other Community Priorities Work Plans. See pg. 26 of the Grant Application Instructions for more information.]

A B C D E F G H I J

Output Output 

Instrument

Service Activity 

(each selected 

will generate a 

separate work 

plan)

# of Unduplicated 

Volunteers

# of Total 

Volunteers

# of Volunteer 

Stations

Output 

Target

Outcome Outcome 

Instrument

Outcome 

Target

[There is 

only one 

option 

here: 

Grantee 

met its 

target for 

community 

priority 

activity: 

Yes/No.]

This is not 

required 

for these 

work plans.

This is not 

required for 

these work 

plans.

[Identify how many 

unduplicated volunteers will 

have this as the area where 

he/she intends to make the 

most impact. These 

unduplicated volunteers do 

NOT count toward the total 

that result in national 

performance measure 

outcomes. They do count 

towards your total number 

of unduplicated volunteers]

[Identify 

how many 

volunteers

in all will 

contribute 

to this 

work plan]

[Identify how 

many stations 

will contribute 

to this work 

plan]

[Estimate

your target 

for the 

output you 

identified

in Column 

A]

This is not 

required for 

these work 

plans.

This is not 

required for 

these work 

plans.

This is not 

required for 

these work 

plans.

Total number of unduplicated volunteers in National Performance Measure Work 

Plans: _[COMPLETE]_________

The number of unduplicated volunteers you enter in this work plan SHOULD NOT be 

included in this total. It should reflect only the work plans you have completed 

previous, which contribute to National Performance Measures outcomes. 

Total number of unduplicated volunteers: _[COMPLETE]_________

Add the number you put in Column D to the number you entered in the box to the 

left. This is the total number of unduplicated volunteers for your proposal, and may 

not be less than the number of unduplicated volunteers associated with your Service 

Area in Appendix A. 

Service Activity Description(s)

This is not required for these work plans.

Output Instrument Description(s)

This is not required for these work plans.

Outcome Instrument Description(s)

This is not required for these work plans.