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Copy of City of Santa Ana Community <br />Development Block Grant FY 2022- 2024 (Nonprofit Application) <br /> <br /> 13 <br /> <br />Q16. List the benchmarks the organization will use to determine success of the <br />program* <br />Provide intended outcomes. <br />(5,000 character maximum) <br /> <br />Q17. Track and Measure Performance* <br />Describe how the organization will track and measure performance outcomes qualitatively <br />and quantitatively. <br />(5,000 character maximum) <br /> <br />Q18. List federal grants that the organization has received within the last 5 <br />years* <br />Include grant amounts, services provided, and outcomes. <br />(5,000 character maximum) <br /> <br />Q19. Summarize the qualifications of the organization’s staff* <br />(Program & Administrative) that would allow the organization to provide the services <br />stated and comply with regulatory requirements. <br />(5,000 character maximum) <br /> <br /> <br />ATTACHMENTS <br />Please download all forms to your desktop and then fill out. If you try to fill out the form <br />from the download screen, the information will not be saved when you try to upload it. <br /> <br /> <br />2022-2023 Proposed Program Budget (Attachment 1) <br /> <br />2023-2024 Proposed Program Budget (Attachment 2) <br /> <br />Staff Listing (Attachment 3) <br /> <br />Certifications (Attachment 4) <br /> <br />Logic Model <br />Using the template provided below by the University of Wisconsin, please attach a logic <br />model that will summarize your proposed program on one page including the situation <br />(community need) that you are going to address, the inputs you will use to address that <br />need, your outputs of activities that you will undertake in your program, and the <br />outcomes (short - 3 months, medium - 6 months and long - 12 months), that you will <br />achieve. Please ensure you are as detailed as possible to provide your logic of how you <br />will achieve your stated outcomes. <br /> <br />Logic Model from University of Wisconsin: <br />EXHIBIT 1