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1/31/24, 3:06 PM HSOA-24-54 <br />https://chapelhillnc.workflow.opengov.com/#/explore/records/63283/react-form-details/63283 14/22 <br />Target Population <br />The program target population demographics table is included as an <br />attachement on the application cover page. Please download the excel <br />spreadsheet and fill out the demographic data in the table and then upload it <br />with your application. Provide one copy per program that you are requesting <br />funding for. <br />Program Cost <br />This cost per individual must reflect the total program budget divided by the <br />total number of program individuals in this application. <br />Actual Cost 2022-2023 <br />Total Program Cost (Actual 2022-2023) <br />61807 <br />Total Number of Individuals (Actual 2022-2023) <br />50 <br />Cost Per Individual (Actual 2022-2023) <br />1236.14 <br />Projected Cost 2023-2024 <br />Total Program Cost (2023-2024) <br />167549 <br />Total Number of Individuals (Projected 2023- <br />2024) <br />50 <br />Cost Per Individual (Projected 2023-2024) <br />3350 <br />Projected Cost 2024-2025 <br />Docusign Envelope ID: 1965B505-9714-4865-86DA-C1B1BD2AF858