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DRAFT CDBG APPLICATION <br />1 1:. Il i u.. LL 1 <br />Legal Organization Name* <br />Character Limit: 100 <br />Date Organization Founded* <br />Character Limit: 10 <br />Date of Nonprofit incorporation* <br />Character Limit: 10 <br />SERVICE AND FUNDING <br />Q1. Total number of unduplicated individuals to be served during FY 2017 - <br />2018 by this program: (Include Santa Ana residents and Non -Santa Anaresidents) <br />a. Total number of City of Santa Ana residents* <br />Character Limit: 250 <br />b. Percentage of City of Santa Ana residents served by the program:* <br />Character Limit: 250 <br />c. Total number estimated to be low- income* <br />Character Limit: 250 <br />Character Limit: 250 <br />Q2. Estimated yearly units of service* <br />(Number of unduplicated individuals multiplied by service visits — i.e. 200 youth X 25 tutoring <br />sessions = 5,000 units of service) Character Limit: 250 <br />Q3. Total CDBG funds requested for FY 2017 -2018* <br />($30,000 minimum) Character Limit: 20 <br />Q3A. Minimum Willing to Accept to Run Your Program <br />($30,000 minimum) Character Limit: 20 <br />QA. Cost per participant* <br />(Total CDBG funds requested divided by Total to be served) Character Limit: 20 <br />19F -7 <br />