Program logic model
===================

Logic model: [PROGRAM NAME]

Organization: [ORGANIZATION NAME]

Prepared by: [NAMES]. Date: [DATE]

The need

[ONE OR TWO SENTENCES: WHAT PROBLEM OR NEED THIS PROGRAM RESPONDS TO, FOR WHOM, AND HOW YOU KNOW]

Who the program is for

[THE PEOPLE OR COMMUNITY THE PROGRAM SERVES, AND HOW MANY YOU EXPECT TO REACH]

The model

| Inputs | Activities | Outputs | Short-term outcomes | Intermediate outcomes | Long-term outcomes |
|---|---|---|---|---|---|
| [VOLUNTEERS, STAFF TIME] | [WHAT YOU DO] | [WHAT YOU PRODUCE, AND HOW MUCH] | [EARLY CHANGES, FOR EXAMPLE IN KNOWLEDGE OR CONFIDENCE] | [CHANGES IN BEHAVIOR OR PRACTICE] | [THE BIGGER CHANGE YOU HOPE TO CONTRIBUTE TO] |
| [MONEY, SPACE, EQUIPMENT] | [ACTIVITY] | [OUTPUT] | [OUTCOME] | [OUTCOME] | [OUTCOME] |
| [PARTNERS] | [ACTIVITY] | [OUTPUT] | [OUTCOME] | [OUTCOME] | |

Outside factors

What could help or get in the way, outside your control:

- Helps: [FOR EXAMPLE: STRONG SCHOOL PARTNER, LOCAL FUNDING PRIORITY]
- Gets in the way: [FOR EXAMPLE: TRANSPORT, CHANGES IN BENEFITS, WEATHER]

What we're assuming

[THE BELIEFS THE MODEL RESTS ON, FOR EXAMPLE "PARENTS CAN BRING CHILDREN AFTER SCHOOL" OR "WEEKLY SESSIONS ARE ENOUGH TO BUILD CONFIDENCE"]

How we'll know it's working

| Outcome | Indicator (how we'd know) | How we'll collect it | When | Who |
|---|---|---|---|---|
| [OUTCOME] | [INDICATOR] | [FOR EXAMPLE: SHORT SURVEY AT START AND END] | [WHEN] | [NAME] |
| [OUTCOME] | [INDICATOR] | [FOR EXAMPLE: ATTENDANCE RECORDS] | [WHEN] | [NAME] |
| [OUTCOME] | [INDICATOR] | [FOR EXAMPLE: PARTNER FEEDBACK] | [WHEN] | [NAME] |

Review

Next review date: [DATE]

What we changed last time, and why: [NOTES]