ࡱ> \^[q` \>bjbjqPqP T::<xxx8l(&VVVVV6H`w%y%y%y%y%y%y%$'h|)l%EVV%VV%^VVw%w%"g"V PA#@xU^3"K#,%0(&;",))g")g"0"%%^(&xx  ANNEX A PROGRAM COMMITMENTS SELF-HELP CENTERS NAME OF AGENCY:  FORMTEXT       SITE NAME:  FORMTEXT       SITE ADDRESS & PHONE #:  FORMTEXT        FORMTEXT       CONTRACT NUMBER:  FORMTEXT      CONTRACT TERM:  FORMTEXT      TO  FORMTEXT       BUDGET MATRIX CODE: 36 BUDGET MODIFICATION NO:  FORMTEXT       (0 = Original) 1. Number of new consumer attendees served:  FORMTEXT       2.  Number of unduplicated consumers served:  FORMTEXT       3.  Number of duplicated consumers served:  FORMTEXT       4. Number of operational hours during the year:  FORMTEXT       5. Number of operational days during year:  FORMTEXT       6. Average daily attendance at the center:  FORMTEXT       7. Number of self-help activities provided:  FORMTEXT       8. Number of participants in peer support activities:  FORMTEXT       9. 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Number of participants in wellness/recovery activities:  FORMTEXT       11. Number of training/education activities provided:  FORMTEXT       12. Number of participants in training/education activities:  FORMTEXT       13. Number of advocacy activities:  FORMTEXT       14. Number of community outreach activities:  FORMTEXT       15. 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Page NumberHRH C` Balloon TextCJOJQJ^JaJv@cv Q Table Grid7:V01$7$8$H$.T /01VWxy,-1w@AUVWZ[#$%()RSghilm@AUVW[\3459:cdxyz~!+,/000000000000000 0 0 0 000000 00 00 0 00 00 00 0 00 00 00 0 00 00 00 0 00 00 00 0 00 00 00 0 00 00 00 0 00 00 00 0 00 00 00 0 00 00 00 0 00 00 00 0 00 00 00 0 00 00 00 0 00 00 00 0 00 000 00 0 X00@0I00@0I00@0I00@0I00@0@0@0XI00d ;;;>^ 2 6 86;<=\> "&)X $ : Fj::F;;f<<=\>  !#$%'(Z> BNTcou $*cou AMS!S_eAMS+1dpv.FFFFFFFFFFFFFFFFFFFFFFFText1Text2Text3Text4Text5Text6Text7Text8Text9Text10Text11Text12Text13Text14Text15Text16Text17Text18Text19Text20Text21Text22Text23BccASAd/ Uv+vT"fT2w/8PZ&,-@UVZ#$(Rghl@UV[349cxy~/M0M0@OTүOO@.PP P PP:UnknownG: Times New Roman5Symbol3& : Arial5& zaTahoma"h2ˆ2ˆ&  Wݸ!xxd2QHX ?6*ANNEX A Dave Salewski joel boehmler Oh+'0 (4 T ` l xANNEX ADave SalewskiAnnex A - Code 36 Self Helpjoel boehmler2Microsoft Office Word@@ w@H"#@@H"#@՜.+,0 hp  CPC Behavioral Healthcare  ANNEX A Title  !"#$%&'()*,-./012345789:;<=>?@ABCDEFGHIJLMNOPQRTUVWXYZ]Root Entry F0A#@_Data +1Table6)WordDocumentTSummaryInformation(KDocumentSummaryInformation8SCompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q