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PROGRAM OUTCOMES & ACTIVITES If the program received CSAC funding in 2022-2023, were all outcomes measures met for the year, including numbers served? If not, what will you do differently to achieve expected outcomes? • Expected Outcome /Change (Funding Priority Area of Focus): o For this outcome, report current fiscal year results to date (10/01/23 —12/31/23): o ACTUAL outcome results for the previous fiscal year: • Indicator Measurements (Evidence): • Program Activities (What): • Frequency (How Often): • Responsible Parties (Who): • Data Source (Where): • Time of Measurement (When): PROGRAM FUNDING REQUEST • Amount Requested from CSAC for 2024/2025 0.00 • Total Proposed Program Budget for 2024/2025 0.00 • Percent of Total Program Budget 0.00% • Current Program Funding from CSAC (2023/2024) 0.00 • Dollar increase/(decrease) in request 0.00 • Percent increase/(decrease) in request 0.00% • Unduplicated Number of Children to be served Individually 0 • Unduplicated Number of Adults to be served Individually 0 • Of the total children and adults served individual, how many are served via group settings 0 • Total Program Cost per Client 0.00 • If applicable, please indicate reason for $ change in request. • If request increased by 5% or more over previous year's allocation, provide a detailed explanation as to why. • If the funding request is more than 25% of the Program Budget, provide a detailed explanation as to why. • If these funds are being used to match another source, name the source and the $ amount. PROGRAM BUDGET REVENUE/EXPENSES fY 22/23 FY 23/24 FY 24/25 % Change BUDGET ACTUAL TOTAL BUDGETED PROPOSED BUDGET + or (-) CSAC BUDGET REQUEST --TPROGRAM EXPENSES FY 24/25 FY 24/25 I % OF TOTAL VS. BUDGET FUNDER BUDGET FUNDERREQUEST f 160 2024-2025 CSAC Funding Application - 3