Form A: Program Outcomes Logic Model Worksheet ____________________________________________________________________________________ Organization: Program: Program Mission/Goals: Brief Description of Program: Note: Please to 2: Definitions of Terms for Measuring Program Outcomes” for additional information and Appendix 4: Sample Logic Model Worksheet. “Appendix Inputs Activities Outputs Initial Indicators & Intermediate Indicators & Long-term Indicators & Outcomes & Targets for Outcomes & Targets for Outcomes & Targets for Timeframes Initial Timeframes Intermediate Timeframes Long-term Outcomes Outcomes Outcomes Constraints on Inputs:
Form A: Program Outcomes Logic Model Worksheet ____________________________________________________________________________________ Organization: Program: Program Mission/Goals: Brief Description of Program: Note: Please to “Appendix 2: Definitions of Terms for Measuring Program Outcomes” for additional information and Appendix 4: Sample Logic Model Worksheet. Inputs Activities Outputs Initial Outcomes & Timeframes Indicators & Targets for Initial Outcomes Intermediate Outcomes & Timeframes Indicators & Targets for Intermediate Outcomes Long-term Outcomes & Timeframes Indicators & Targets for Long-term Outcomes Constraints on Inputs: