iNSTRUCTIONS FOR COMPLETING THE LOGIC MODEL WORK PLAN Applicant: Project Priority Area: Targeted Activities: (select at least one) Workforce Development Job Creation and Placement Workforce Education and Development Soft Skill Development Entrepreneurial Development SAMPLE MODEL FOR YOUR INFORMATION – Identified CSBG Resources Service or Activity Outcome Outcome Indicator National Problem or Need Performance Indicator (1) (2) (3) (4) (5) (6) State the identified List the resources Identify the services Identify the project’s Identify the project’s Include the problem or need available or or activities that anticipated results in anticipated results in identifiers the proposed anticipated, and comprise the general terms. specific terms, including for the CSBG project will which will be used to proposed project. projected success rates. National address. support the Outcome For each outcome Performance proposed project. (For applicants statements should indicator include: Indicators (NPIs) Projects may familiar with other describe benefits to that will be used to address more than This column should logic model formats, low-income The number of measure and report one problem or be used to present a this column individuals and participants outcome(s). need. brief overview of describes outputs.) families that will be expected to resources. achieved as a result achieve the For outcomes that For each distinct of the project. outcome do not directly CSBG Funds activity or service, correspond to the include the following There should be a The number of CSBG NPIs, indicate $ information: clear association participants “N/A.” between the expected to receive Local Share Cash A brief outcomes, the the service or enroll description of identified problems/ in the program $ the service or needs, and the activity services/activities The percentage of In-Kind within an identified participants served The number of Opportunity Area. who are expected to $ participants who achieve the outcome will receive the Other Cash service or enroll in the program $ The time frame in which the service or activity will take place EXAMPLE: EXAMPLE: EXAMPLE: EXAMPLE: EXAMPLE: EXAMPLE: Middle school CSBG Peer mediation Middle school 15 of 20 youth, or 75% 6.3B.5 youth lack the skills $100,000 training will be demonstrate the of middle school youth, needed to manage Local Share Cash provided to 20 ability to resolve acquire skills in conflict conflicts $10,000 middle school conflicts through resolution and peer constructively. In-Kind students between non-violent means. mediation. $15,000 Feb. 1 and April 30. Total Other Cash $5,000
iNSTRUCTIONS FOR COMPLETING THE LOGIC MODEL WORK PLAN Applicant: Project Priority Area: Workforce Development Targeted Activities: (select at least one) Job Creation and Placement Workforce Education and Development Soft Skill Development Entrepreneurial Development SAMPLE MODEL – FOR YOUR INFORMATION Identified Problem or Need Resources Service or Activity Outcome Outcome Indicator CSBG National Performance Indicator (6) (1) (2) (3) (4) (5) State the identified problem or need the proposed project will address. Projects may address more than one problem or need. List the resources available or anticipated, and which will be used to support the proposed project. This column should be used to present a brief overview of resources. CSBG Funds $ Local Share Cash $ In-Kind $ Other Cash $ Identify the services or activities that comprise the proposed project. (For applicants familiar with other logic model formats, this column describes outputs.) For each distinct activity or service, include the following information: A brief description of the service or activity The number of participants who will receive the service or enroll in the program The time frame in which the service or activity will take place Identify the project’s anticipated results in general terms. Outcome statements should describe benefits to low-income individuals and families that will be achieved as a result of the project. There should be a clear association between the outcomes, the identified problems/ needs, and the services/activities within an identified Opportunity Area. Identify the project’s anticipated results in specific terms, including projected success rates. For each outcome indicator include: The number of participants expected to achieve the outcome The number of participants expected to receive the service or enroll in the program The percentage of participants served who are expected to achieve the outcome Include the identifiers for the CSBG National Performance Indicators (NPIs) that will be used to measure and report outcome(s). For outcomes that do not directly correspond to the CSBG NPIs, indicate “N/A.” EXAMPLE: Middle school youth lack the skills needed to manage conflicts constructively. EXAMPLE: CSBG $100,000 Local Share Cash $10,000 In-Kind $15,000 Total Other Cash $5,000 EXAMPLE: Peer mediation training will be provided to 20 middle school students between Feb. 1 and April 30. EXAMPLE: Middle school demonstrate the ability to resolve conflicts through non-violent means. EXAMPLE: 15 of 20 youth, or 75% of middle school youth, acquire skills in conflict resolution and peer mediation. EXAMPLE: 6.3B.5