3 Work Plan Worksheet FGP

AmeriCorps Seniors Grant Applications, Progress Reporting, Independent Living and Respite Surveys

Work Plan Worksheets FGP_Version 09032012

Senior Corps Application

OMB: 3045-0035

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Overview and Instructions

FGP Work Plan Development Worksheets

Overview: The summary sheets below, along with the pre-formatted Work Plan Development Worksheets, are optional tools to help you plan placement of your volunteers in the Focus Areas and Performance Measures for the three-year performance period, as specified in the Grant Application Instructions. By using these templates to pre-plan how your volunteers will be placed in service opportunities and activities, you can plot the scope of your FGP project, and use each completed sheet to calculate your percentages in each type of Performance Measure. Additionally, the completed Worksheets can be used as reference when you enter your Work Plan data into the eGrants System.

Instructions:

  1. As you complete these worksheets, we encourage you to reference the following resources:


  1. Use the following definitions when calculating “Total Number of Unduplicated Volunteers” and “Total Number of Volunteers”:

  • Number of Unduplicated Volunteers: This is the proposed number of volunteers who will be performing each service activity. Each volunteer can only be counted once when assigned to a service activity. The volunteer should be counted in the area where he/she will make the most impact- in terms of the type of service or in terms of the scope of service, such as the most number of hours served.

  • Total Number of Volunteers: The total number of volunteers engaged in the activities, if you were to assign all of them according to each activity, will be entered in this section. In this way, volunteers can be counted more than once- for example, if the same volunteer does two different types of activities such as mentoring AND tutoring, you can account for all assignments in this field.

TIP: When completing these worksheets and entering your volunteer numbers into the eGrants System, remember that the sum of the Number of Unduplicated Volunteers from each work plan must equal the Total Number of Unduplicated Volunteers for the project.



















Volunteer Calculations:

  1. The total number of unduplicated volunteers in your proposed project: ______

    1. Calculate 75% of your total unduplicated volunteers = ________ volunteers

This is the minimum number of unduplicated volunteers to be placed in Work Plans with required Output/Outcome pairs (see Step 2 below).

    1. Calculate 25% of your total unduplicated volunteers = ________ volunteers

This is the maximum number of unduplicated volunteers to be placed in Work Plans with optional Outcomes (see Step 3 below).

  1. Use the Output/Outcome Pair Worksheets (following on pages 3 to 11) to plan placement of a minimum of 75% of your unduplicated volunteers.



  1. Use the Optional Outcome Worksheets (following on pages 12 to 15) as needed to plan placement for the remainder of your unduplicated volunteers (up to 25% of your unduplicated volunteers).



  1. Once you have completed these worksheets and you are ready to enter Work Plan data into the eGrants System you may want to review the online course “How to Represent Performance Measures in eGrants”, located in the Main Conference Hall section of the Senior Corps Virtual Conference (http://www.nationalserviceresources.org/scvirtualconference).











Output/Outcomes Worksheet Focus Area: Education Objective: K-12 Success

Community Need:




Output

Output Instrument

Service Activity (each selected will generate a separate work plan)

# of Unduplicated Volunteers

# of Total Volunteers

# of Volunteer Stations

Output Target

Outcome

Outcome Instrument

Outcome Target

ED2. Number of students that completed participation in CNCS-supported K-12 education programs


http://www.nationalserviceresources.org/npm/ed2

Attendance Log; Activity Log; Other

Tutoring—Public Schools





ED5. Number of students with improved academic performance in literacy and/or math


http://www.nationalserviceresources.org/npm/ed5

Standardized Pre/Post Test; Standardized Test


Tutoring—Faith-Based School






Tutoring - Other






Total number of unduplicated volunteers in Output/Outcome pair: ______


Percentage of total unduplicated volunteers in Output/Outcome pair: ______


















Community Need:




Output

Output Instrument

Service Activity (each selected will generate a separate work plan)

# of Unduplicated Volunteers

# of Total Volunteers

# of Volunteer Stations

Output Target

Outcome

Outcome Instrument

Outcome Target

ED2. Number of students that completed participation in CNCS-supported K-12 education programs


http://www.nationalserviceresources.org/npm/ed2

Attendance Log; Activity Log; Other

Tutoring—Public Schools





ED27. Number of students in grades K-12 that participated in the mentoring or tutoring or other education program, including CNCS-supported service-learning, who demonstrated improved academic engagement



School Records; Teacher Pre/Post Survey; Student Pre/Post Survey


Tutoring—Faith-Based School






Tutoring - Other
















Total number of unduplicated volunteers in Output/Outcome pair: ______


Percentage of total unduplicated volunteers in Output/Outcome pair: ______




















Community Need:




Output

Output Instrument

Service Activity (each selected will generate a separate work plan)

# of Unduplicated Volunteers

# of Total Volunteers

# of Volunteer Stations

Output Target

Outcome

Outcome Instrument

Outcome Target

ED2. Number of students that completed participation in CNCS-supported K-12 education programs


http://www.nationalserviceresources.org/npm/ed2

Attendance Log; Activity Log; Other

Tutoring—Public Schools





ED6. Number of youth that have improved their school attendance over the course of the CNCS-supported program’s involvement with the student


http://www.nationalserviceresources.org/npm/ed6

Attendance Log; Other


Tutoring—Faith-Based School






Tutoring - Other






Total number of unduplicated volunteers in Output/Outcome pair: ______ Percentage of total unduplicated volunteers in Output/Outcome pair: ______






















Community Need:




Output

Output Instrument

Service Activity (each selected will generate a separate work plan)

# of Unduplicated Volunteers

# of Total Volunteers

# of Volunteer Stations

Output Target

Outcome

Outcome Instrument

Outcome Target

ED4A. Number of disadvantaged youth/mentor matches that were sustained by the CNCS-supported program for at least the required time period


http://www.nationalserviceresources.org/npm/ed4a

Attendance Log; Activity Log; Other

School-based Mentoring





ED5. Number of students with improved academic performance in literacy and/or math


http://www.nationalserviceresources.org/npm/ed5

Standardized Pre/Post Test; Standardized Test


Community-based Mentoring






Total number of unduplicated volunteers in Output/Outcome pair: ______ Percentage of total unduplicated volunteers in Output/Outcome pair: ______



















Community Need:




Output

Output Instrument

Service Activity (each selected will generate a separate work plan)

# of Unduplicated Volunteers

# of Total Volunteers

# of Volunteer Stations

Output Target

Outcome

Outcome Instrument

Outcome Target

ED4A. Number of disadvantaged youth/mentor matches that were sustained by the CNCS-supported program for at least the required time period


http://www.nationalserviceresources.org/npm/ed4a

Attendance Log; Activity Log; Other

School-based Mentoring





ED27. Number of students in grades K-12 that participated in the mentoring or tutoring or other education program, including CNCS-supported learning, who demonstrated improved academic engagement

School Records; Teacher Pre/Post Survey; Student Pre/Post Survey


Community-based Mentoring






Total number of unduplicated volunteers in Output/Outcome pair: ______ Percentage of total unduplicated volunteers in Output/Outcome pair: ______

















Community Need:




Output

Output Instrument

Service Activity (each selected will generate a separate work plan)

# of Unduplicated Volunteers

# of Total Volunteers

# of Volunteer Stations

Output Target

Outcome

Outcome Instrument

Outcome Target

ED4A. Number of disadvantaged youth/mentor matches that were sustained by the CNCS-supported program for at least the required time period


http://www.nationalserviceresources.org/npm/ed4a

Attendance Log; Activity Log; Other

School-based Mentoring





ED6. Number of youth that have improved their school attendance over the course of the CNCS-supported program’s involvement with the student


http://www.nationalserviceresources.org/npm/ed6

Attendance Log; Other


Community-based Mentoring






Total number of unduplicated volunteers in Output/Outcome pair: ______ Percentage of total unduplicated volunteers in Output/Outcome pair: ______


















Output/Outcome Worksheet Focus Area: Education Objective: School Readiness

Community Need:




Output

Output Instrument

Service Activity (each selected will generate a separate work plan)

# of Unduplicated Volunteers

# of Total Volunteers

# of Volunteer Stations

Output Target

Outcome

Outcome Instrument

Outcome Target

ED21. Number of children that completed participation in CNCS-supported early childhood education programs


http://www.nationalserviceresources.org/npm/ed21

Attendance Log; Activity Log; Other

Assisting in Classroom





ED23. Number of children demonstrating gains in school readiness in terms of social and/or emotional development


http://www.nationalserviceresources.org/npm/ed23

Observation Tool; Teacher Survey; Teacher Pre/Post Survey; Other


Assisting in Classroom – Head Start






Total number of unduplicated volunteers in Output/Outcome pair: ______ Percentage of total unduplicated volunteers in Output/Outcome pair: ______


















Community Need:




Output

Output Instrument

Service Activity (each selected will generate a separate work plan)

# of Unduplicated Volunteers

# of Total Volunteers

# of Volunteer Stations

Output Target

Outcome

Outcome Instrument

Outcome Target

ED21. Number of children that completed participation in CNCS-supported early childhood education programs


http://www.nationalserviceresources.org/npm/ed21

Attendance Log; Activity Log; Other

Assisting in Classroom





ED24. Number of children demonstrating gains in school readiness in terms of literacy skills.


http://www.nationalserviceresources.org/npm/ed24



Standardized Test; Standardized Pre/Post Test; Literacy Assessment Tool; Senior Corps Teacher Survey; Other


Assisting in Classroom – Head Start










Total number of unduplicated volunteers in Output/Outcome pair: ______ Percentage of total unduplicated volunteers in Output/Outcome pair: ______




















Community Need:




Output

Output Instrument

Service Activity (each selected will generate a separate work plan)

# of Unduplicated Volunteers

# of Total Volunteers

# of Volunteer Stations

Output Target

Outcome

Outcome Instrument

Outcome Target

ED21. Number of children that completed participation in CNCS-supported early childhood education programs


http://www.nationalserviceresources.org/npm/ed21

Attendance Log; Activity Log; Other

Assisting in Classroom





ED25. Number of children demonstrating gains in school readiness in terms of numeracy (math) skills


http://www.nationalserviceresources.org/npm/ed25

Standardized Test; Standardized Pre/Post Test; Literacy Assessment Tool; Senior Corps Teacher Survey; Other


Assisting in Classroom – Head Start






Total number of unduplicated volunteers in Output/Outcome pair: ______ Percentage of total unduplicated volunteers in Output/Outcome pair: ______




















Optional Outcome Worksheet Focus Area: Education Objective: K-12 Success

Community Need:




Output

Output Instrument

Service Activity (each selected will generate a separate work plan)

# of Unduplicated Volunteers

# of Total Volunteers

# of Volunteer Stations

Output Target

ED2. Number of students that completed participation in CNCS-supported K-12 education Programs


http://www.nationalserviceresources.org/npm/ed2

Attendance Log; Activity Log; Other

Tutoring—Public Schools





Tutoring—Faith-Based School





Tutoring - Other





Total number of unduplicated volunteers in Output: ______


Percentage of total unduplicated volunteers in Output: ______


















Community Need:




Output

Output Instrument

Service Activity (each selected will generate a separate work plan)

# of Unduplicated Volunteers

# of Total Volunteers

# of Volunteer Stations

Output Target

Outcome (optional)

Outcome Instrument

Outcome Target

ED4A. Number of disadvantaged youth/mentor matches that were sustained by the CNCS-supported program for at least the required time period


http://www.nationalserviceresources.org/npm/ed4a

Attendance Log; Activity Log; Other

School-based Mentoring





ED26. Number of students acquiring a GED

GED Completion Record


Community-based Mentoring






Total number of unduplicated volunteers in Output: ______


Percentage of total unduplicated volunteers in Output: ______

Total number of unduplicated volunteers in Outcome (optional): _______


Percentage of total unduplicated volunteers in Outcome (optional): _______

















Optional Outcome Worksheet Focus Area: Education Objective: School Readiness

Community Need:




Output

Output Instrument

Service Activity (each selected will generate a separate work plan)

# of Unduplicated Volunteers

# of Total Volunteers

# of Volunteer Stations

Output Target

ED21. Number of children that completed participation in CNCS-supported early childhood education programs


http://www.nationalserviceresources.org/npm/ed21

Attendance Log; Activity Log; Other

Assisting in Classroom





Assisting in Classroom – Head Start





Total number of unduplicated volunteers in Output: ______


Percentage of total unduplicated volunteers in Output: ______

















Community Need:




Output

Output Instrument

Service Activity (each selected will generate a separate work plan)

# of Unduplicated Volunteers

# of Total Volunteers

# of Volunteer Stations

Output Target

ED29. Number of children served in child safety, welfare, and health programs

Other

Comforting Children






Caring for Infants





Helping Young Mothers





Total number of unduplicated volunteers in Output: ______ Percentage of total unduplicated volunteers in Output: ______



Optional Outcome Worksheet Focus Area: Economic Opportunity Objective: Employment

Community Need:




Output

Output Instrument

Service Activity (each selected will generate a separate work plan)

# of Unduplicated Volunteers

# of Total Volunteers

# of Volunteer Stations

Output Target

Outcome (optional)

Outcome Instrument

Outcome Target

O2. Number of economically disadvantaged individuals receiving job training and other skill development services

Attendance Log; Activity Log; Other

Adult Basic Education





O10. Number of economically disadvantaged individuals placed in jobs

Acceptance Letter from Employer; Copy of Pay Stub; Program Records; Other


Helping with GED






Adult ESOL/ESL






Other






Total number of unduplicated volunteers in Output: ______


Percentage of total unduplicated volunteers in Output: ______

Total number of unduplicated volunteers in Outcome (optional): _______


Percentage of total unduplicated volunteers in Outcome (optional): _______





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AuthorRoberts, Angela
Last Modified ByCannady, Laurie
File Modified2012-09-03
File Created2012-09-03

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