LOGIC MODEL Worksheet (Table format)



Program:

Situation Statement:

|Inputs | |Outputs | |Outcomes - Impact |

|What we will invest | | | | |

| | |Activities - | Participation – | |Short Term Results | Medium Term Results | Long Term Results |

| | |What we will do |Who we will reach | | | | |

|Assumptions | |External Factors |

| | | |

|Evaluation |

| |

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