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<br />Program information P a g e 11 o f 23 <br />Low-income (80% of the Area Median Income and Below) Please see <br />income table in the attachments <br />484 <br />(unknown <br />TBD) <br />449 (232 <br />unknown) <br />491 (unknown <br />TBD) <br />524 <br />(unknown <br />TBD) <br />Total 0 686* 750 800 <br /> <br />*Please note that we actually delivered to 723 kids weekly prior to school closures in 2020. These numbers <br />represent the majority of 2019-20. <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 $607,245 $1,051,733 $1,175,163 <br />Total # of Individuals 723 750 800 <br />Cost Per Individual $839.90* $1,402.31* $1,468.95* <br />* These numbers reflect a shift in our operations to: 1) provide more food each week, 2) provide additional <br />local, organic produce, 3) integrate nutrition education lessons, activities, & tools into our food access <br />programming, and 4) continue to further develop our program to meet the needs of our kids – including <br />allowing families to select they food they’d like to receive. <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: <br /> <br />Strategic <br />Objective <br />(please choose one from <br />the Results Framework) <br /> Children improve their educational outcomes <br />✓ Residents Increase their livelihood security <br />✓ Residents improve their health outcomes <br /> <br />Intermediate <br />Result <br />(please choose one from <br />the Results Framework) <br />Insert Intermediate Result here. <br /> <br /> <br />2.1 Residents access the most appropriate social safety net services <br />3.2 Residents demonstrate new healthy lifestyle behaviors <br /> <br /> <br /> <br /> <br />RESULTS Actual <br />2019-20 <br />Projected <br />2020-21 <br />Projected <br /> 2021-22 <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />DocuSign Envelope ID: 6AACAE3D-76C8-46BA-8DCC-C71ED367AD95