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.

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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 2027Number Percentage Number Percentage
Individuals:Households:
FY 2028NumberPercentageNumberPercentage
Individuals:Households:
FY 2029NumberPercentageNumberPercentage
Individuals:Households:
FY 2030NumberPercentageNumberPercentage
Individuals:Households:
FY 2031NumberPercentageNumberPercentage
Individuals:Households:

File details come from the government source that posted it. Updated .