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Attachment C: Evaluation Workbook <br /> 3. Blank Template: Additional Project Proposal Form <br /> Project Objective: <br /> Project topic: <br /> Project Description What is your project? How does it address the project objective? <br /> Activities The actions or tasks you will perform to achieve your project objective(s). Detail each step <br /> you will take to reach the desired outcomes. For successful applicants,these activities will be listed in <br /> your contract's Scope of Work. <br /> Outputs <br /> Outputs are part of the project deliverables.They are the main results you'll use to track your progress. <br /> It is strongly encouraged that at least 3 of the 4 outputs for this project be selected from the list <br /> provided. <br /> If you have additional outputs to include, write them in the "other" space provided. If you create other <br /> outputs, please be sure they are both measurable and meaningful. <br /> ❑ Number of unique individuals exposed ❑ Number of unique individuals receiving <br /> to/number of public awareness campaigns and evidence-based behavioral health-related <br /> messages services as a result of the grant <br /> ❑ Number and percentage of unique individuals ❑ Number of policies developed and implemented <br /> who have demonstrated improvement in as a result of the grant <br /> knowledge, attitudes,or beliefs related to ❑ Number of organizational changes made to <br /> prevention and/or promotion support improvement <br /> ❑ Number of schools,workplaces,or other ❑ Number of new staff hired <br /> institutions that implement stigma-reduction ❑ Number of unique individuals trained in <br /> programs prevention or behavioral health promotion <br /> ❑ Number of unique individuals trained in trauma- <br /> informed care practices <br /> 9 <br />