Orange County NC Website
MAIN APPLICATION <br />Program /Project Information <br />0) Complete the Target Population and Program Beneficiary Demographics Chart <br />(k) Complete the Schedule of Positions Chart for Program Staff <br />(1) Disclosure of Potential Conflicts of Interest must be signed <br />(m) Complete the Work Statement Chart to describe the work to be performed, and be sure <br />to attach copies of all data collection tools that will be used to verify achievement of <br />program goals and objectives. Describe who will be responsible for monitoring progress. <br />Information to Complete <br />j) Target Population <br />Complete the following tables to the best of your ability. Show numbers of participants and <br />percentages, as applicable, in each category. <br />Please indicate whether this project/program will serve: ® Persons ❑ Households ❑ Units <br />Program: Community Education <br />Caucasian <br />Native Hawaiian or other Pacific Islander <br />Other <br />Unknown <br />Total <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />1,869 <br />1,865 <br />1,875 <br />10,523 <br />10,600 <br />10,650 <br />1,222 <br />1,230 <br />1,240 <br />13,614 <br />13,695 <br />13,765 <br />Main Application 1/25/2016 12:55:42 PM P a g e 20 of 32 <br />