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Attachment F Chart of Past Performance

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Attachment F: Chart of Past Performance template (Suggested)

Applicants must provide data from a previous project that is similar in size, scope, and relevance to the grant they are applying for: HVRP, HFVVWF, or IVTP.

Name of Previous Grantor Organization:

E-mail Address:

Telephone Number:

Project Title:

Description:

Grant Number:

Type of Population Served:

Total Number of Participants Served by the Project:

Project Period of Performance (Start and End Date):

Performance Goals

Metric
Total Number of Participants in the Denominator of the Metric

Total Number of Participants Successfully Achieved this Metric

Defined Numerator (number who achieved this metric) /Denominator for Metric Percentage Rate of Actual Achievement

Example: Unsubsidized Employment Placement
60
40
40/60
67%

1. [Name of Metric (i.e., Number of Enrollments)]

2. [Name of Metric (i.e., Placement rate overall)]

3. [Name of Metric (i.e., Average Wage at Placement)]

4. [Name of Metric (i.e., Placement rate for Episodic Homeless)]

5. [Name of Metric (i.e., Percentage of program participants who are in unsubsidized employment in the second quarter after exit from the program)]

6. [Name of Metric (i.e., Percentage of program participants who are in unsubsidized employment in the fourth quarter after exit from the program)]

7. [Name of Metric (i.e., Median earnings of program participants who are in unsubsidized employment in the second quarter after exit from the program)]

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