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IHP 670 Logic Model Outline Template

Use this template to help you design the logic model outline for your program plan. Fill in the information identified in each section of the outline’s bracketed text, and then delete the bracketed text before submitting this outline for grading.

Program Title:

Program Goal:

Inputs or Resources

Activities or Work Products

Outcomes

[Insert all inputs or resources for your program here.]

[Insert all activities or work products for your program here.]

Short-term Outcomes (2 Weeks)

[Insert all short-term outcomes for your program here.]

Intermediate Outcomes (6 Weeks)

[Insert all intermediate outcomes for your program here.]

Long-term Outcomes (4 Months)

[Insert all long-term outcomes for your program here.]

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