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Application <br />Date Organization Founded* <br />Character Limit: 10 <br />Date of Nonprofit Incorporation* <br />Character Limit:10 <br />SERVICE AND FUNDING <br />City of Santa Ana- CDBG <br />Q1. Total number of unduplicated individuals to be served by the program <br />during FY 2020-2022* <br />Provide estimated number of unduplicated individuals to be served per FY 2020-2021 and <br />2021-2022 <br />Character Limit: 250 <br />a.Total number of unduplicated Santa Ana individuals to be serve by the <br />program during FY 2020-2022. <br />Provide estimated number of unduplicated individuals to be served per FY 2020-2021 and <br />2021-2022 <br />Character Limit: 250 <br />b. Total number of unduplicated non -Santa Ana individuals to be served by <br />program during 2020-2022.* <br />Provide estimated number of unduplicated individuals to be served per FY 2020-2021 and <br />2021-2022 <br />Character Limit: 250 <br />Q2. Estimated yearly total client contacts expected by the program during FY <br />2020-2022.* <br />(Number of unduplicated individuals multiplied by service visits— i.e. 200 youth x 25 tutoring <br />sessions = 5,000 units of service) <br />Provide estimated number of client contacts per FY 2020-2021 and 2021-2022 <br />Character Limit: 250 <br />Q3. Total CDBG funds requested for FY 2020-2021 and FY 2021-2022 (must <br />match Exhibit A, B and B1)* <br />($60,000 Minimum) Applicant must submit budgets for each FY. <br />Character Limit: 20 <br />Q4. Cost per participant per Fiscal Year* <br />(Total CDBG funds requested divided by total number of participants to be served) <br />City of Santa Ana - Nonprofit <br />Application Fiscal Year 2020-2022 <br />Printed On: 19 September 2019 Community Development Block Grant 7 <br />21A-10 <br />