Orange County NC Website
DocuSign Envelope ID:29B34BCC-1A11-40B3-9EE7-168E6261E415 <br /> Of the above, how many Hispanic/Latino 5 2 8 10 <br /> Of the above, how many non-Hispanic/Latino 25 45 32 46 <br /> Total 30 47 40 56 <br /> Age <br /> 0-5 years <br /> 6-18 years 1 1 1 2 <br /> 19-50 years 26 44 38 52 <br /> 51+years 3 2 1 2 <br /> Total 30 47 40 56 <br /> Geographic Location <br /> Town of Chapel Hill 5 10 10 14 <br /> Town of Carrboro 5 2 2 3 <br /> Orange County(Outside of Chapel Hill/Carrboro) 15 5 10 14 <br /> Outside of Orange County 5 30 18 25 <br /> Total 30 47 40 56 <br /> Income <br /> Low-income(80%of the Area Median Income and Below) Please see <br /> income table in the attachments *See Note Below <br /> Total 0 0 0 0 <br /> *Pathways has not requested information related to income,so we have no verifiable data to support any <br /> claims of low-income participants.A request for this information will be added to our intake forms so we <br /> can report accurately in the future. <br /> 8. Cost Per Individual <br /> This cost per individual must reflect the total program budget divided by the total number of program <br /> individuals in this application. <br /> Actual 2018-19 Projected 2019-20 Projected 2020-21 <br /> Total Cost of Program *See note $30,303 <br /> below <br /> Total # of Individuals 56 <br /> Cost Per Individual $541.00 <br /> *Pathways is working with our accountants to establish our financial records according to GAAP (Generally <br /> Accepted Accounting Principles)for non-profit organizations. Income and expenses were not consistently <br /> entered against programs.We cannot with certainty state actual program income or expenses for <br /> accounting years prior to FY 2020. <br /> 9. Performance Indicators <br /> For Chapel Hill and Carrboro applicants: <br /> Please complete the following chart with information about the Strategic Objective, Intermediate Result, and <br /> the Agency Performance Indicator for each program for which you are applying for funding. Please see the <br /> Results Framework in the Attachments section as a reference. <br /> Page 17 of 37 <br />