Outcome Outcome Indicator Outcome Measurement 1. Children in the target population will demonstrate appropriate development in the following areas: Health and physical well-being Social and emotional development Language development and general knowledge. #___ and %___ of children who displayed developmental growth in health and physical well-being. Collection Method: Instrument: Shared Survey #___ and %___ of children who displayed developmental growth in social and emotional development. Collection Method: Instrument: Shared Survey #___ and %___ of children who displayed developmental growth in language development and general knowledge. Collection Method: Instrument: Shared Survey 2. Parents/guardians/ caregivers will provide supportive environments for children in the target population. #___ and %___ of participants who demonstrate and/or report an increased understanding of positive parenting/caregiving skills. Collection Method: Instrument: Shared Survey #___ and %___ of participants who demonstrate and/or report an increased understanding of child development. Collection Method: Instrument: Shared Survey #___ and %___ of participants who demonstrate and/or report an improved relationship with their child(ren) in the area of communication. Collection Method: Instrument: Shared Survey #___ and %___ of participants who demonstrate and/or report an increased access to supports. Collection Method: Instrument: Shared Survey #___ and %___ of participants who demonstrate and/or report an increased knowledge of resources. Collection Method: Instrument: Shared Survey 20. Describe how outcomes will be measured. Include information on how data will be tracked and analyzed to measure success in achieving your program’s outcomes. Max: 600 words 21. Describe the strategies that will be used by your program to achieve the identified outcomes for the target population. Max: 600 words 22. Describe your program’s evaluation plan. Include how results are used to evaluate and improve the program. Describe how your program will change or be different (if at all) in the second and third years of operation with regard to evaluation, staffing, work plan, and/or individuals served. Max: 750 words 23. Is there anything else you would like to share about your program? Max: 600 words
Printed and Electronic copies of the following paperwork must be completed and delivered no later than 12:00 p.m. on Friday, September 1, 2017 to the UWGCV office. Any application materials received after the deadline will not be eligible for review. Please review that all items are complete, signatures are in place and all required attachments are provided. Check items in Column 2 “Program – check as submitted”. Attachment H and I may not be applicable – if so, write NA in that column. Items to submit per directions on page 1 -Program- check as submitted -For UWGCV Office Use- Verified by UWGCV staff Grant Application (sections 1-6) All sections are complete Signature pages are complete Attachment A – Budget Attachment B – Organizational Chart Attachment C – Board of Directors Attachment D – Program Profit & Loss Statement Attachment E – Agency Profit & Loss Statement Attachment F – Organizational Financial Statements Attachment G – Federal Tax Return Attachment H – Narrative Regarding Government-led Investigation - Question 6 Attachment I – MOA if Fiscal Collaborating Partnership If the Fiscal Agent is NOT the same as the Lead Organization, the Fiscal Agent must ALSO provide: Attachment E – Agency Profit & Loss Statement Attachment F – Organizational Financial Statements Attachment G – Federal Tax Return End of Application