Applicantsmust Complete(1)Thecapacity-Buildingsection

Applicantsmustcomplete(1)thecapacity-buildingsection AND(2)thesectionappropriatetotheironeselectedfocusarea.Seepage19fordetailsandinstructionsoncompletingthissection.Inyoursubmission,pleasedeletethesectionsforthefocusareas notselected.

CAPACITY BUILDING(Requiredforallsites)
Goal:Toexpandthescale,reach,efficiency,oreffectivenessofprogramsandorganizations.
PleaseindicateyouranticipatedtargetforeachindicatorasaresultoftheCommonwealthCorpsmembers’activities.
REQUIREDMEASURES:
Indicator / Target
Numberofcommunityvolunteersrecruitedand/ormanagedbyprojects/members.
Numberofhoursofservicecontributedbycommunityvolunteersrecruitedand/ormanagedbyprojects/members.
Dollarvalueofcashand/orin-kindsupportleveragedbymembers,includingmember-managedvolunteers(DONOTincludevalueofCommonwealthCorpsmembers).
Numberofuniqueindividualswhohavebeendirectlyimpactedby/benefitedfromyourmembers'service/projects?
Describetheinstrument(s)ortoolsyouwillusetotrackthesedata:
Numberofmemberprojectsaimedatincreasingsustainability/documentationofprogram.
Describeatleastonememberactivityaimedatincreasingsustainability/documentation:
DescribetheimpactyouexpectinthisareaasaresultoftheCommonwealthCorpsproject:
ADDITIONALMEASURES(selectatleastone):
Indicator / Target
Numberofnewbeneficiariesservedasaresultoftheproject/memberactivities.
Numberofadditionalactivitiescompletedand/orprogramoutputsproducedbytheprogramasaresultoftheproject/memberactivities(apartfromthosesustainabilityprojectslistedabove).
Numberofexistingbeneficiariesreportingimprovedprogramservicesasaresultoftheproject/memberactivities.
Describetheinstrument(s)ortoolsyouwillusetotrackthesedata:
DescribetheimpactyouexpectinthisareaasaresultoftheCommonwealthCorpsproject:

1

ECONOMICOPPORTUNITY/WORKFORCEDEVELOPMENT
Goal:Toimproveeconomicwell-beingandsecurityofeconomicallydisadvantagedindividuals.
PleaseindicateyouranticipatedtargetforeachindicatorasaresultoftheCommonwealthCorpsmembers’activities.
MEASURES(selectatleasttwo):
Indicator / Target
Numberofeconomicallydisadvantaged individuals or individuals facing chronically high rates of unemploymentreferredtojobtrainingandplacementservices.
Numberofeconomicallydisadvantaged individuals or individuals facing chronically high rates of unemploymentreceivingjobtrainingandotherskillsdevelopmentservices.
Numberofeconomicallydisadvantaged individuals or individuals facing chronically high rates of unemploymentreceivingjobplacementservices.
Numberofeconomicallydisadvantaged individuals or individuals facing chronically high rates of unemploymentassistedinpursuingeducationalopportunities.
Numberofeconomicallydisadvantaged individuals or individuals facing chronically high rates of unemploymentassistedinreceivingprofessionalcertification,licensure,orcredentials.
[Adifferentperformancemeasureofthehostsite’schoosingthatincludesaclear,measurabletarget.]
Number of individuals from the overall population served in this focus area who are African American, Hispanic/Latino, Native American, a person with a disability, or a Gulf-era II veteran. (Applicants are strongly encouraged to include this measure, which does not count toward required minimum of two measures.)
Whatspecificinstrument(s)willbeusedtomeasureresults?
DescribetheimpactyouexpectinthisareaasaresultoftheCommonwealthCorpsproject:
EDUCATION
Completethe EarlyChildhoodORtheGeneralEducation (K-12) Sections
Goal:Toimproveschoolreadinessandsuccessforchildrenandyouth.
EarlyChildhoodEducation
PleaseindicateyouranticipatedtargetforeachindicatorasaresultoftheCommonwealthCorpsmembers’activities.
EARLYCHILDHOODEDUCATIONREQUIRED:
Indicator / Target
Numberofchildrenparticipatinginearlychildhoodeducationprograms.
Numberofchildrencompletingparticipationinearlychildhoodeducationprograms.
Numberofchildrenserveddemonstratinggainsinschoolreadinessintermsofsocial/emotionaldevelopment,literacyskills,ornumeracyskills.
Howwilltheprojectdefineanddetermineparticipationandcompletion?
Whatspecificinstrument(s)willbeusedtomeasureresults?
DescribetheimpactyouexpectinthisareaasaresultoftheCommonwealthCorpsproject:
EARLYCHILDHOODEDUCATIONADDITIONAL(selectatleastoneofthefirstthree):
Indicator / Target
Numberofparents/caregivers/guardiansreceivingreferralstoearlychildhoodeducationprograms/services.
Numberofparents/caregivers/guardiansincreasingengagementintheirchild(ren)’searlychildhoodeducation.
Numberofactivitiessupportedbymembersaimedatincreasingfamilyengagementinearlychildhoodeducation.
[Adifferentperformancemeasureofthehostsite’schoosingthatincludesaclear,measurabletarget.]
Howwilltheprojectdefineanddetermineincreasedengagement?
Whatspecificinstrument(s)willbeusedtomeasureresults?
DescribetheimpactyouexpectinthisareaasaresultoftheCommonwealthCorpsproject:
GENERALEDUCATION (K-12) REQUIRED:
Indicator / Target
Numberofchildren/youthparticipatingineducationprograms.
Numberofchildren/youthcompletingparticipationin
educationprograms.
Numberofchildren/youthdemonstratingimprovedschoolengagementthroughchangesinatleasttwobehaviorsand/orattitudes.Pleasespecifythebehaviorsand/orattitudes.
Behaviors/attitudesmayincludeincreasedattendance,increasedcompletionofassignmentsincludinghomework,increasedteacher-reportedparticipation,decreaseddisciplinaryreferrals,increasedinterestinschool,improvedperspectiveonschoolclimate,increasedattachmenttoschool,orincreasededucationalaspirations.
Whatspecificinstrument(s)willbeusedtomeasureresults?
DescribetheimpactyouexpectinthisareaasaresultoftheCommonwealthCorpsproject:
GENERALEDUCATION (K-12) ADDITIONAL(selectatleastoneofthefirstthree):
Indicator / Target
Numberofparents/caregivers/guardiansreceivingreferralstoeducationalprograms/services.
Numberofparents/caregivers/guardiansincreasingengagementinstudents’learningand/oreducationalgoals.
Numberofactivitiessupportedbymembersaimedatincreasingfamilyengagementinstudents’learningand/oreducationalgoals.
[Adifferentperformancemeasureofthehostsite’schoosingthatincludesaclear,measurabletarget.]
Howwilltheprojectdefineanddetermineincreasedengagement?
Whatspecificinstrument(s)willbeusedtomeasureresults?
DescribetheimpactyouexpectinthisareaasaresultoftheCommonwealthCorpsproject:
HEALTH ANDNUTRITION
Goal:Toimprovethephysicalandmentalhealthofcommunitiesandindividuals.
PleaseindicateyouranticipatedtargetforeachindicatorasaresultoftheCommonwealthCorpsmembers’activities.
MEASURES(selectatleasttwo):
Indicator / Target
Numberofindividualsutilizingpreventiveandprimaryhealthcareservicesandprograms.
Numberofclientstowhominformationonhealthinsurance,healthcareaccess,andhealthbenefitsprogramsisdelivered.
Numberofclientsenrolledinhealthinsurance,healthservices,andhealthbenefitsprograms.
Numberofindividualsparticipatinginhealtheducationprograms.
[Adifferentperformancemeasureofthehostsite’schoosingthatincludesaclear,measurabletarget.]
Number of individuals from the overall population served in this focus area who received substance abuse prevention or treatment related services. (Applicants are strongly encouraged to include this measure, if relevant, which does not count toward required minimum of two measures.)
Whatspecificinstrument(s)willbeusedtomeasureresults?
DescribetheimpactyouexpectinthisareaasaresultoftheCommonwealthCorpsproject:
VETERANS’SUPPORT
Goal:Tosupportorimprovethephysical,mental,andsocialwellbeingofveteransandmilitaryfamilies.
PleaseindicateyouranticipatedtargetforeachindicatorasaresultoftheCommonwealthCorpsmembers’activities.
REQUIREDMEASURES:
Indicator / Target
Numberofveteransand/oractivedutymilitarypersonnelthatreceivedassistance.
Numberoffamilymembersofveteransand/oractivedutymilitarypersonnelthatreceivedassistance.
Numberofveteransand/ormilitaryfamilymembersengagedasCommonwealthCorpsmembers.
Whatspecificinstrument(s)willbeusedtomeasureresults?
DescribetheimpactyouexpectinthisareaasaresultoftheCommonwealthCorpsproject:
ADDITIONALMEASURES(selectatleasttwo):
Indicator / Target
Numberofveteransreceivedhousingplacementservices.
NumberofveteransreceivingservicesinoneormoreoftheCommonwealthCorpsfocusareas:

• Numberofveteransreceivingservicestoincreaseaccesstoprimaryandpreventivehealthcareand/orreceivinginformationonhealthbenefits.

• Numberofveteransreceivingjobtraining,skilldevelopment,orjobplacementservices.

• Numberofveteransassistedinreceivingprofessionalcertification,licensure,orcredentials.

• Numberofveteransassistedinpursuingeducationopportunities.

[Adifferentperformancemeasureofthehostsite’schoosingthatincludesaclear,measurabletarget.]
Whatspecificinstrument(s)willbeusedtomeasureresults?
DescribetheimpactyouexpectinthisareaasaresultoftheCommonwealthCorpsproject:
YOUTHVIOLENCEPREVENTION/YOUTHDEVELOPMENT
Goal:Toincreaseaccesstopositiveyouthdevelopmentopportunitiesanddecreaseyouthinvolvementinriskybehaviorsincludingviolentbehaviors,gangmembership,andsubstanceabuse.
PleaseindicateyouranticipatedtargetforeachindicatorasaresultoftheCommonwealthCorpsmembers’activities.
REQUIREDMEASURES:
Indicator / Target
Numberofyouthconnectedtoresourcesandservicesthroughoutreach.
Numberofyouthenrolledinpositivedevelopmentactivitiesincludingjobtrainingandeducation/alternativeeducationprograms.
Whatspecificinstrument(s)willbeusedtomeasureresults?
DescribetheimpactyouexpectinthisareaasaresultoftheCommonwealthCorpsproject:
ADDITIONALMEASURES:(youmustselectatleastoneofthefirsttwomeasuresbelow)
Numberofyouthdemonstratingdecreasedriskbehaviorsincludingdecreasedsubstanceabuse,arrest,ganginvolvement,ordisciplinaryreferralsandsuspensionsinschool.
Numberofyouthdemonstratingincreasedpositivebehaviors/protectivefactors.
(Optional)Numberofindividualsassistedinreceivingprofessionalcertification,licensure,orcredentials.
(Optional)[Adifferentperformancemeasureofthehostsite’schoosingthatincludesaclear,measurabletarget.]
Number of individuals from the overall population served in this focus area who received substance abuse prevention or treatment related services. (Applicants are strongly encouraged to include this measure, if relevant, which does not count toward required minimum of two measures.)
Whatspecificinstrument(s)willbeusedtomeasureresults?
DescribetheimpactyouexpectinthisareaasaresultoftheCommonwealthCorpsproject: