(Goals)

To address the level of this risk or protective factor:

(Strategies)

We will do the following program activities:

(Target Group)

For these people and for this amount of time:

(Theory of Change)

We expect that this activity will lead to changes in these factors, ________________ which in turn will lead to our program goal

(Short Term Outcomes)

We will know these changes have occurred if:

(Long Term Impacts)

We will know we are reaching our goals if:

Logic Model:

Evaluation Questions:

Measures and Sources:

Analyses: