Part 3 – Program Outcome Reporting Section
Program #: of
AGENCY:
PROGRAM NAME:
Agency is aligned with United Way Community Impact Area:
K – All That Kids Can Be
Goal: Helping children and youth reach their full potential
1. THEORY OF CHANGE
A Theory of Change links program outcomes and activities to explain HOW and WHY a desired
change is expected to come about. It identifies what you are trying to achieve, what changes in
people you expect to see, and how these changes will occur.
1a) Briefly describe the problem that you want to address with this program? What do you
see as the underlying causes of the issue or problem?
1b) What will the program do to address this issue/problem?
1c) What would a solution to the issue/problem look like?
1d) How will you know that you have succeeded? What would be progress/success after:
1 year, 2 years, 3 years, and so on?
2. OUTCOMES & INDICATORS - used to measure program achievements/impact
In the chart below, select at least one outcome achieved by individuals in this program and
at least one indicator that was used to measure its success.
K1 - Engagement in Learning
Program Outcome
Program Level Indicator
The CHANGE in client behaviour or status as a result
of this program (BENEFIT TO CLIENTS
Describes the DATA collected that shows how well the program
achieved its outcome(s).

 K1 a) Children and youth are ready to learn
 K1 b) Children and youth do well in school 
 K1 c) Youth make a healthy transition into 
adulthood
K1i) Self-reported or observed commitment to learning,
achievement, motivation
K1ii) Demonstrated mastery of age-appropriate literacy
and numeracy skills, grades, on-time graduation
K1iii) Demonstrated readiness and success in
transitioning to post-secondary education, training, or
meaningful employment
K2 - Connectedness & Community Involvement
Program Outcome
Program Level Indicator
The CHANGE in client behaviour or status as a result
of this program (BENEFIT TO CLIENTS)
Describes the DATA collected that shows how well the program
achieved its outcome(s).

 K2 a) Children and youth care about and get 
along with others
 K2 b) Children and youth get involved


K2 c) Children and youth take responsibility
and lead


K2i) Demonstrated empathy, interpersonal skills
K2ii) Self-reported, demonstrated or observed planning
and decision-making, leadership
K2iii) Self-reported, demonstrated or observed sense of
belonging, supportive relationships, peaceful conflict
resolution skills
K2iv) Self-reported, demonstrated or observed
constructive use of time, meaningful participation in
activities, sense of belonging, pro-social behaviours
K2v) Self-reported increased sense of connectedness
to community
All That Kids Can Be O-1
K3 – Emotional & Physical Wellbeing
Program Level Indicator
Program Outcome
Describes the DATA collected that shows how well the program
achieved its outcome(s).
The CHANGE in client behaviour or status as a result
of this program (BENEFIT TO CLIENTS

 K3 a) Children and youth believe in
themselves

choices

 K3 b) Children and youth make healthy

K3 c) Children and youth can better handle
life’s challenge

K3i) Self-reported positive identity, self-esteem, sense
of purpose, optimism, psychological well-being
K3ii) Self-reported, demonstrated or observed selfregulation of emotion, coping in healthy ways
K3iii) Increased physical activity: self-reports of
healthier life choices (i.e. healthy eating patterns and
other healthy lifestyle choices)
K3iv) Avoidance of risky behaviour: self-reports of
reduced risk taking (i.e. substance use, sexuality, etc.);
harm reduction
3. PROGRAM ACTIVITIES & OUTPUTS
In the chart below, briefly describe the main activity(ies) for this program.
Program Activity
Activity Output(s)
What the program did for clients, such as: (i.e.) teaching,
counseling, mentoring, food/meals, etc.
Outcome & Indicator
Code
Activity
What were the statistics for each activity, such as: (i.e.)
# of individuals by demographic (children/youth/parents)
# of groups/sessions; duration, etc.(2hr/wk x 12 wks)
Quantity
Output
4. PROGRAM EVALUATION
Briefly describe how this program was evaluated, including the tools that were used.
Where did you get the data for each indicator, who or what
provide the data
Outcome & Indicator
Code
How was the data obtained, such as a survey, interview,
role play, observation, case notes, etc.
Data Source(s)
Data Collection Method(s)
5. OUTCOME MEASUREMENT
Using the Outcomes and Indicators selected above in question #2, please report back on the overall
success of this program, and identify targets for the upcoming funding year.
K1 – Engagement in Learning
Program
Outcome & Indicator
Code
Proposed Targets
(2014-15)
# of clients
% of total
clients
Actual Results
(2014-15)
# of clients
Expected Targets
(2015-16)
% of total
clients
# of clients
% of total
clients
K2 – Connectedness and Community Involvement
Program
Outcome & Indicator
Code
Proposed Targets
(2014-15)
# of clients
% of total
clients
Actual Results
(2014-15)
# of clients
Expected Targets
(2015-16)
% of total
clients
# of clients
% of total
clients
K3 – Emotional and Physical Wellbeing
Program
Outcome & Indicator
Code
Proposed Targets
(2014-15)
# of clients
% of total
clients
Actual Results
(2014-15)
# of clients
Expected Targets
(2015-16)
% of total
clients
# of clients
% of total
clients
All That Kids Can Be O-2