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DocuSign Envelope ID: F807B28A-EF75-498C-9EC8-5863109A5978 <br /> 19-50 years 350 268 350 350 <br /> 51+years 40 47 40 40 <br /> Unknown 980 1074 980 980 <br /> Total 1400 1432 1400 1400 <br /> Geographic Location <br /> Town of Chapel Hill 400 398 400 400 <br /> Town of Carrboro 100 73 100 100 <br /> Orange County(Outside of Chapel Hill/Carrboro) 150 148 150 150 <br /> Outside of Orange County 215 253 215 215 <br /> Unknown 535 560 535 535 <br /> Total 1400 1432 1400 1400 <br /> Income <br /> Low-income(80%of the Area Median Income and Below) Please see At least At least <br /> income table in the attachments 900 930 At least 900 900 <br /> Total 1 1400 1 1432 1 1400 1 1400 <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 2019 20 Projected 2020-21 Projected 2021-22 <br /> Total Cost of Program $717,129 $1,096,498 $1,041,537 <br /> Total#of Individuals 1432 1400 1400 <br /> Cost Per Individual $500.79 $783.21 $743.96 <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 /> Program Name: Domestic Violence Services <br /> Strategic ❑ Children improve their educational outcomes <br /> Obj ective <br /> (please choose onefrom X Residents Increase their livelihood security <br /> the ResultsFrame)vorh) ❑ Residents improve their health outcomes <br /> Program information P a g e 1 1 o f 3 4 <br />