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2021-595-E-OC Rape Crisis Center-Outside Agency
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2021-595-E-OC Rape Crisis Center-Outside Agency
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Last modified
10/22/2021 3:33:43 PM
Creation date
10/22/2021 3:33:23 PM
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Template:
Contract
Date
10/21/2021
Contract Starting Date
10/21/2021
Contract Ending Date
10/22/2021
Contract Document Type
Agreement
Amount
$62,000.00
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<br />Program information P a g e 15 of 31 <br />Orange County ( Outside of Chapel <br />Hill/Carrboro) <br />4500 <br />2876 <br />4450 3000 <br />Outside of Orange County 1500 2463 1600 1300 <br />Unknown 250 0 250 1250 <br />Total 15300 10828 15400 13150 <br />Income <br />Low‐income (80% of the Area Median Income and <br />Below) Please see income table in the attachments <br />Not <br />tracked <br />Not <br />tracked <br />Not <br />Tracked <br />Not Tracked <br />Total <br />Not <br />tracked <br />Not <br />tracked <br />Not <br />Tracked <br />Not Tracked <br /> <br />Not <br />tracked <br />Not <br />tracked <br />Not <br />Tracked <br />Not Tracked <br /> 15300 10828 15400 13150 <br /> <br /> <br />We are not able to track education programs based on Gender or Ethnicity since they typically <br />have large, mixed audiences. Entries for gender and race/ethnicity are based on demographic <br />estimates for the county. With the vast majority of our programs taking place in the local <br />school districts, we can assume that our outreach numbers reflect county-wide demographic <br />data. Figures for Geographic Location are determined based on where the program was <br />delivered (e.g., a program at Carrboro Elementary School will place all participants in the <br />Town of Carrboro). <br /> <br /> <br />8. Cost Per Individual <br /> <br />This cost per individual must reflect the total program budget divided by the total number of program <br />individuals in this application. <br /> <br /> Actual 2019‐20 Projected 2020‐21 Projected 2021‐22 <br />Total Cost of Program 231344 270300 228085 <br />Total # of Individuals 10828 15400 13150 <br />Cost Per Individual 21.36 17.55 17.35 <br /> <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 /> <br />Program Name: Community Engagement for Safer Kids <br /> <br />Strategic <br />Objective <br />(please choose one from <br />the Results Framework) <br /> Children improve their educational outcomes <br />X Residents Increase their livelihood security <br /> Residents improve their health outcomes <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />DocuSign Envelope ID: BEA4B8BB-13B7-4322-9698-A424692E9FD4
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