Attachment I

NEEDS ASSESSMENT TOP FIVE NEEDS

Subrecipient:

Need(s) Description of Top Five Needs Addressed NPIs program/service/activity Coordination 1.

2.

3.

4.

5.

Top Five Needs: List the top five (5) needs from your most recent Needs Assessment.

Needs Addressed: Indicate a Yes or No in the box, to indicate if the need will be addressed in the upcoming program year, either directly or through coordination.

NPIs (National Performance Indicators): List the NPIs that correspond to the services and activities that will be addressed from the top five needs. The NPIs should correspond to the NPIs in Attachment F Performance Statement for 2014.

Description of program/service/activity: Briefly describe the program, service, and/or activity that your entity will directly provide to address the need.

Coordination: If your entity will address the need through coordination, describe what organizations or coalitions you will coordinate with to address the needs.