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Attachment E - Chart of Past Performance

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Attachment E: Chart of Past Performance Template (Suggested) with Example

Note: Applicants must provide data from a previous project that is similar in size, scope, and relevance to the HVRP, HFVVWF, or IVTP program.

Name of Previous Grantor Organization:

Grantor Contact - Name, Title, Organization, E-mail Address, and Telephone Number:

Project Title, Description, and 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 Chronically Homeless)]

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