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<br /> <br /> <br /> <br /> <br /> <br /> CDBG 2013-2014 <br /> APPLICATION FORM <br /> DUE DATE: 5:00 p.m., January 16, 2013 <br /> 1. ORGANIZATIONAL <br /> A. Department Name: PRCSA-Libra <br /> B. Program/Project Name: After-School Homework Help and Tutoring Program <br /> C. Mailing Address: 26 Civic Center Plaza Santa Ana CA 92701 <br /> E. Contact Name: Silvia Cisneros <br /> Title: Senior Librarian <br /> Telephone: 714-647-5244 <br /> Fax: 714-647-8235 <br /> E-Mail: scisneros@santa-ana.org <br /> II. SERVICE AND FUNDING <br /> A. Identify which eligible activity is being proposed. (example: <br /> Basic Eligible Activity (c) Public Facilities and Basic Eligible Activity (e) Public Services <br /> Improvements. <br /> ? Area-Benefit <br /> ? Limited Clientele-Presumed Beneficiary <br /> B. Identify which national objective will be met. ® Limited Clientele-Greater than 51% Low-Income <br /> ? Low-income Housing <br /> ? Job Creation/Retention j <br /> B.I. If Area-Benefit, Identify the boundaries of the service area. N/A <br /> s - <br /> 6.2. If Limited Clientele-Presumed Beneficiary, Identify the NIA Presumed Beneficiary <br /> j <br /> presumed beneficiary category and the estimated number <br /> to benefit from the service N/A Estimated People to be Served <br /> B.3. If Limited Clientele-Greater than 51% Low-income (LI), 3,700 Estimated People to be Served , <br /> Identify the estimated number to benefit from the service <br /> and of those the percentage expected to be low-income 80% Estimated Percentage of People who are LI f <br /> B.4. If Low-Income Housing, Identify the estimated number of <br /> housing units to be filled with low-income households. N/A Estimated number of Housing Units <br /> B, 6. If Job Creation/Retention, identify the number of job N/A Created <br /> created andlor retained for low-income individuals <br /> N/A Retained <br /> i <br /> C, Indicate the CDBG funding amount requested. $258,063 <br /> j <br /> <br /> <br /> <br /> <br /> <br /> i <br /> j <br /> i <br /> 2 <br /> <br /> 75B-45 <br />