NAME OF APPLICANT ORGANIZATION: PROBLEM STATEMENT: OUTCOMES INPUTS ACTIVITIES OUTPUTS Short-term Medium-term Long-term What we will invest, including Direct products from program Changes in behavior or action Meaningful changes, often in Changes in knowledge, skills, # of ACMs and # of service What we propose to do activities (e.g. # of that result from participants’ participants’ condition or attitudes, opinions site locations beneficiaries / participants) new knowledge status in life
NAME OF APPLICANT ORGANIZATION: PROBLEM STATEMENT: INPUTS ACTIVITIES OUTPUTS OUTCOMES Short-term Medium-term Long-term What we will invest, including # of ACMs and # of service site locations What we propose to do Direct products from program activities (e.g. # of beneficiaries / participants) Changes in knowledge, skills, attitudes, opinions Changes in behavior or action that result from participants’ new knowledge Meaningful changes, often in participants’ condition or status in life
2017-Logic-Model-Template.docx