January 29, 2026

Applicant name: ____________________________________________________________________________

Please complete the work plan template for the reporting period of the NFP Mental Health Services grant (Oct. 1, 2026 – Sept. 30, 2027). There is a requirement of a minimum of three goals with two objectives, but more can be added. Please add as many goals, objectives, and activities needed for the mental health services the program provides. This could be less or more than what is outlined on the template. Please be sure to fill all categories of Goal, Objective, Rationale, Activity, Person Responsible, Measures, and Completion Date.

Oct. 1, 2026 – Sept. 30, 2027

Goal 1:

Objective 1:

Objective rationale:

Activity	Person Responsible	Measures of Accomplishment	Expected Completion Date

Objective 2:

Objective rationale:

Activity	Person Responsible	Measures of Accomplishment	Expected Completion Date

Goal 2:

Objective 1:

Objective rationale:

Activity	Person Responsible	Measures of Accomplishment	Expected Completion Date

Objective 2:

Objective rationale:

Activity	Person Responsible	Measures of Accomplishment	Expected Completion Date

Goal 3:

Objective 1:

Objective rationale:

Activity	Person Responsible	Measures of Accomplishment	Expected Completion Date

Objective 2:

Objective rationale:

Activity	Person Responsible	Measures of Accomplishment	Expected Completion Date

Add more goals/objectives/activities if needed.