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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 projectobjective(s). Detail each step <br />you will take to reach the desired outcomes. For shKc_ssful applicants, these activities will be listed in <br />yourcontract's Scope of LVork. <br />Outputs <br />outputs are part of the project deliverables_ They are the main results you'll use to trade your progress. <br />It is strongly encouraged that at 'east 3 of the 4 outputs for this project be selected from the gist <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 />G r;umber of unique indMduals exposed <br />to/number of public awareness campaigns and <br />messages <br />Number and percentage of unique individuals <br />❑,rho have demonstrated improvement in <br />knowledge, attitudes, or beliefs related to <br />prevention and/or promotion <br />❑ Number of schools, workplaces, or other <br />institutions that implement stigma -reduction <br />programs <br />❑ Number of unique individuals receiving <br />evidence -based behavioral health -related <br />Number of policies developed and implemented <br />as a result of the grant <br />❑ Number of organizational changes made to <br />support improvement <br />Number of ne',e, staff hired <br />Number of unique individuals ararned in <br />prevention or behavioral health promotion <br />Number of unique individuals trained in traurna- <br />informed care practices <br />Number and percentage of unique individuals <br />accessing services after Werra] <br />Number of unique individuals referred to crisis <br />se.-, ices as a result of the grant or other behavioral health services for suicide <br />risk, ideation, or behavior <br />9 <br />Kittitas County Agreement for Services (rev. 5/14/25) <br />Page 14 of 32 <br />