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DocuSign Envelope ID: C5C1 1 FD4-56CD-48FD-BBD1 -95F2AFF7112B <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />k) What percentage of your target population is low- moderate income? <br />It is impossible to secure that information from our visitors who come either in large school <br />groups, family groups, or tour groups or who attend our community events. We are not in a <br />position to garner their information as they are not required to provide it in order to receive <br />our services. <br />1) What efforts do you make to seek feedback about your program from your target population <br />(e.g. survey, evaluations, etc.?) <br />We conduct evaluations of individual programs periodically; we monitor feedback on our <br />Facebook page and web site and we benefit greatly from teacher reviews collected by the <br />Hillsborough Visitor Center after school groups participate in programs. <br />M) Include any other pertinent information. <br />Additional Pro ram Information <br />n) Target Population <br />Complete the following tables, with numbers (not percentages) of individuals served and to be <br />served, to the best of your ability, <br />Unfortunately we are not able to provide specific numbers for individual demographics. Our <br />Participants are provided to us via schools and other organizations or come to the Burwell School <br />through our outreach advertising. Our demographic is constantly changing and is based on the <br />voluntary participation of teachers, parents, etc. We can estimate a target number for the year but <br />cannot estimate percentages of income, ethinicity, or age as those variables are not under our <br />control nor is it possible or desirable to ask that information of our visitors during their time on site. <br />PROGRAM INFORMATION 1/23/2018 12:09:02 PM Page 21 of 27 <br />