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DocuSign Envelope ID:5AA6A454-5FE1-4D3D-BC86-92EE503AC9A3 <br /> 6-18 years 88 109 95 104 <br /> 19-50 years 450 534 453 512 <br /> 51+ years 82 100 92 96 <br /> Total 700 835 720 800 <br /> Geographic Location <br /> Town of Chapel Hill 350 417 352 394 <br /> Town of Carrboro 250 301 258 288 <br /> Orange County ( Outside of Chapel Hill/Carrboro) 55 67 65 70 <br /> Outside of Orange County 45 50 45 48 <br /> Total 700 835 720 800 <br /> Income <br /> Low-income (80% of the Area Median Income and <br /> Below) Please see income table in the attachments <br /> Total 700 835 720 800 <br /> 8. Cost Per Individual <br /> This cost per individual must reflect the total program budget divided by the total <br /> number of program individuals in this application. <br /> Actual 2018- Projected 2019- Projected 2020- <br /> 19 20 21 <br /> Total Cost of Program $13,087 $14,878.00 $15,000.00 <br /> Total # of Individuals 835 720 800 <br /> Cost Per Individual $15.67 $20.66 7$18.75 <br /> 9. Performance Indicators <br /> For Chapel Hill and Carrboro applicants: <br /> Please complete the following chart with information about the Strategic Objective, <br /> Intermediate Result, and the Agency Performance Indicator for each program for which you <br /> are applying for funding. Please see the Results Framework in the Attachments section as a <br /> reference. <br /> Program Name: <br /> Strategic ❑ Children improve their educational outcomes <br /> Objective <br /> (please choose ❑ Residents Increase their livelihood security <br /> one from the <br /> Results ❑ Residents improve their health outcomes <br /> Framework <br /> AM <br /> Program ini`orrnation P a g e 1. .I o f 2 2 <br />