Attachment E - Past Performance Template-Example

Attachment E: Chart of Past Performance Template (Suggested) with Example

Note: Applicants must provide data from a previous project that is similar in size, scope, and relevance to the HVRP, HFVVWF, or IVTP program.

Name of Previous Grantor Organization:
Grantor Contact - Name, Title, Organization, E-mail Address, and Telephone Number:
Project Title, Description, and Grant Number:
Type of Population Served:
Total Number of Participants Served by the Project:
Project Period of Performance (Start and End Date):
Performance Goals
Metric	Total Number of Participants in the Denominator of the Metric	Total Number of Participants Successfully Achieved this Metric	Defined Numerator (number who achieved this metric) /Denominator for Metric	Percentage Rate of Actual Achievement
Example: Unsubsidized Employment Placement	60	40	40/60	67%
1. [Name of Metric (i.e. Number of Enrollments)]
2. [Name of Metric (i.e. Placement Rate Overall)]
3. [Name of Metric (i.e. Average Wage at Placement)]
4. [Name of Metric (i.e. Placement Rate for Chronically Homeless)]