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DocuSign Envelope ID: 74839431 - 9216- 429F- BFA4- 2AC6473BD9D3 <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />To -date, approximately 50% of our participants have been low- moderate income. if <br />we are able to reduce our participant fees as proposed, this number is likely to <br />increase. <br />Ij What efforts do you make to seek feedback about your program from your target population <br />(e.g. survey, evaluations, etc. ?) <br />All participants are asked to complete a brief, anonymous online satisfaction survey <br />following completion of the program. <br />m) Include any other pertinent information. <br />PROGRAM INFORMATION 1/23/2018 11:18:32 AM Page 24 of 30 <br />