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{Insert Program name and/or priority for Logic Model}

{Insert overall program goal that is reflected in the Logic Model below}

INPUTS | |STRATEGIES/ | |OUTPUTS | |SHORT-TERM | |INTERMEDIATE | |LONG-TERM | | | |ACTIVITIES | | | |OUTCOMES | |OUTCOMES | |OUTCOMES | | | | | | | | | | | | | | | | | | | | | | | | | |

GOAL {Insert overall program goal if not stated above}

Data source to document | |Insert text | |Insert text | |Insert text | |Insert text | |accomplishment | |here | |here | |here | |here | | | | | | | | | | | |

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