4-Form 4 - Program Outcomes.docx
DOCX document 26 KB Posted
- Attached to
- Emergency Food & Housing
- Solicitation number
- 2000004209
- Issued by
- Fairfax County, Virginia
About this file
This is a Program Outcome Worksheet form for Fairfax County, Virginia's Emergency Food & Housing Request for Proposal RFP# 2000004209, covering fiscal years 2027-2031. The form serves as a template for organizations to document proposed program services and outcomes related to emergency food and housing assistance. Proposing organizations must complete separate worksheets for each program service or outcome, detailing the specific service provided, desired outcome, measurement system, and outcome indicators. The form requires applicants to project the total estimated number of individuals and households to receive services for each fiscal year from 2027 through 2031, establishing baseline data for performance evaluation purposes.
The worksheet mandates that organizations provide estimated numbers and percentages of individuals and households expected to achieve the proposed outcome for each fiscal year during the five-year contract period. This performance-tracking document functions as an accountability mechanism to measure program effectiveness and ensure that contracted services meet established goals. The form does not specify pricing terms, funding amounts, set-asides, or other financial details on this particular worksheet, as it is designed solely to capture programmatic outcomes and performance metrics that applicants must demonstrate to be competitive in the solicitation process for Fairfax County's emergency assistance programs.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 7-Special Provisions.pdf | ||
| 1-Form 1 - Cover Sheet (DPMM32).docx | DOCX document | |
| 8-Appendix A - GCIB.pdf | ||
| 5-Form 6 - Cost Narrative Response Form.docx | DOCX document | |
| 9-Form 5A - 5G - DPMM Forms.docx | DOCX document | |
| 6-Form 7-7A-7B-8 - Budget - Protected.xlsx | XLSX spreadsheet | |
| 3-Form 3 - Technical Narrative Response Form.docx | DOCX document | |
| 2-Form 2 - Funding Categories ZIP Codes.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
FORM 4
FAIRFAX COUNTY
EMERGENCY FOOD & HOUSING
FISCAL YEARS 2027-2031
RFP# 2000004209
PROGRAM OUTCOME WORKSHEET
(Complete a separate form for each proposed program service/outcome.) Outcome # of
| Organization: |
| Program: |
A. Service Provided:
B. Outcome:
C. Measurement System:
D. Outcome Indicators:
E. Total Estimated Number of Individuals & Households to Receive Service:
FY 2027
Total Individuals: Total Households:
FY 2028
Total Individuals: Total Households:
FY 2029
Total Individuals: Total Households:
FY 2030
Total Individuals: Total Households:
FY 2031
Total Individuals: Total Households:
F. Estimated Number & Percentage of Individuals & Households to Achieve Outcome:
| FY 2027 | Number Percentage Number Percentage | |||
| Individuals: | Households: | |||
| FY 2028 | Number | Percentage | Number | Percentage |
| Individuals: | Households: | |||
| FY 2029 | Number | Percentage | Number | Percentage |
| Individuals: | Households: | |||
| FY 2030 | Number | Percentage | Number | Percentage |
| Individuals: | Households: | |||
| FY 2031 | Number | Percentage | Number | Percentage |
| Individuals: | Households: |
File details come from the government source that posted it. Updated .