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<br />Program information P a g e 17 o f 55 <br />Total 117 124 117 128 <br />Geographic Location <br />Town of Chapel Hill 37 47 37 49 <br />Town of Carrboro 42 49 42 50 <br />Orange County ( Outside of Chapel Hill/Carrboro) 26 13 26 14 <br />Outside of Orange County 12 15 12 15 <br />Total 117 124 117 128 <br />Income <br />Low-income (80% of the Area Median Income and <br />Below) Please see income table in the attachments 117 123 <br />116 127 <br />Total 117 124 117 128 <br /> <br /> <br /> <br /> <br /> <br />8. Cost Per Individual <br /> <br />This cost per individual must reflect the total program budget divided by the total <br />number of program individuals in this application. <br /> <br /> Actual 2019- <br />20 <br />Projected 2020- <br />21 <br />Projected 2021- <br />22 <br />Total Cost of Program 914,916 997,300 1,050,000 <br />Total # of Individuals 124 117 128 <br />Cost Per Individual 7,378 8,524 8,204 <br /> <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 <br />you are applying for funding. Please see the Results Framework in the Attachments <br />section as a reference. <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614