Date
Agency Name
Program Name
Volunteer Reviewer
Scoring instructions for Questions 1 through 10:
Please score each question using 1 as the lowest ranking and 10 as the highest ranking
possible. A score of 0 indicates that the program did not perform at all in the area being
investigated, and may not be a good investment of United Way community investment dollars.
1)
Please use information provided in Section I. Agency Information of the application to
score this question.
Is this agency’s mission in line with a Community Impact area (Education, Income or
Health)?
Highest score possible for this section is 10 points.
Score for question #1
Please provide your rationale for this score.
2A)
Please use information provided in Section II. Program Activities of the application to
score this section.
Has this program demonstrated, using the Program Description, Staffing Plan, Logic Model
and Outcomes Measurement format, that it has clear and logical inputs, outputs, and
projected outcomes?
Highest score possible for this section is 10 points.
Score for question #2A
Please provide your rationale for this score.
1
2B)
Please use information provided in Section II. Program Activities of the application to
score this section.
Has this program met or exceeded previous outcome projections? If new, is this program
research based, and does it have strong potential to further UWOC’s Community Impact
mission?
Highest score possible for this section is 10 points.
Score for question #2B
Please provide your rationale for this score.
3)
Please use information provided in Section III. Service Recipient Demographics of the
application to score this section.
Does this program invest resources in outreach to ensure it is reaching Ocean County
residents who are experiencing the most need?
Highest score possible for this section is 10 points.
Score for question #3
Please provide your rationale for this score.
4)
Please use information provided in Section IV. Program Evaluation and Client Feedback
of the application to score this section.
Does this program regularly rely on evaluation by professionals as well as clients in order
to make programmatic adjustments to improve service delivery? Are instruments and
tabulated results included in the application?
Highest score possible for this section is 10 points.
Score for question #4
Please provide your rationale for this score.
2
5)
Please use information provided in Section V. Collaboration of the application to score this
section.
Does this program participate in program enhancing collaborations?
Highest score possible for this section is 10 points.
Score for question #5
Please provide your rationale for this score.
6)
Please use information provided in Section VI. Prevention Component of the application
to score this section.
To what degree does this program address root causes and/or deliver prevention
programming? Or to what degree does this program deliver intense/emergency services?
Highest possible score for this section is 10 points.
Score for question #6
Please provide your rationale for this score.
7)
Please use information provided in Section VII. Mandatory Program Success Story of the
application to score this section.
Please give this program 10 points if the success story submitted is compelling and relates
directly to UWOC’s Community Impact mission.
Highest possible score for this section is 10 points.
Score for question #7
Please provide your rationale for this score.
3
8A)
Please use information provided in Section VIII. Program Costs of the application to score
this section.
Are this program’s total costs and per person costs reasonable and justified? Has this
program accessed comparable cost comparisons? Has the program provided sufficient
justification for a two year funding term?
Highest score possible for this section is 10 points.
Score for question #8
Please provide your rationale for this score.
9A)
Please use information provided in Section IX. Funding Sources of the application to
score this section.
Is the sponsor agency accessing all appropriate funding sources on behalf of the
program’s service recipients, other than UWOC? Does this include projection for Year-2
budget projections?
Highest possible score for this question is 5 points.
Score for question #9A
Please provide your rationale for this score.
9B)
Please use information provided in Section IX. Funding Sources of the application to
score this section.
Does the funding requested from UWOC represent a reasonable percentage of the total
program budget?
Highest possible score for this question is 5 points.
Score for question #9B
Please provide your rationale for this score.
Highest score possible for Question Nine (9) is 10 points.
4
Scoring instructions for Question 10:
Please score this question using the range (– 10 through +10).
10)
Based on your experience as an Ocean County stakeholder, and your knowledge of the
needs addressed by this program, this program’s capacity to have a significant impact on
residents in Ocean County, and its ability to implement and manage a 2-year project
period, please add or subtract up to 10 points.
Highest possible score for this section is +10 points.
Score for question #10
Please provide your rationale for this score.
TOTAL SCORE FOR THIS PROGRAM
5