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· ~ Pa~tlclpetlon Estimate ~he number of people and the population groups !o <br /> Choracteri~i~-~. .. · whlcl~, the~ belong ~ho w~ll be invol~d with ~he p~ojecL Special.. <br />' ' -' ? * ~ .. - consideration ~hould ~ g~wn in planning 1he p~o~e~t Io ~he a~i~ <br /> <br /> paid stax (tull-lime pt~sonnell ] <br /> <br /> volunleers 75 <br /> <br /> O genk~ai 8~ '~G E mentall~ o~ <br /> <br /> N 'American Ind;an~ impahe~ 3 ~[ ' <br /> Alaskan Native ~ ~N D heating impa;~ed ~ ~O <br /> A Asian~acilic · O vls~ailg impaired . .~ %0 <br /> Islander ~ ~ P olhe~,ise physically ' <br /> ~ Black, not H~spanic ~ GB [mpahed ~ ~P <br /> <br /> W Whhe, hal H~spaA~C ~3 %W '1 insfilUl~Onah~e~ <br /> <br /> C child 40 %C corfectlonalJ ~ ~l <br /> itude~l 40 ~y (co.ectlonll) ~ ~J <br /> U col~egelun~e~s~ <br /> eudent ~ ~U V veleran ~ %V <br /> S senior chi~en 10 ~S <br /> F Woman 65 ~f <br /> <br /> Checklist Please make sure the application is complete by followlng <br /> Ibis checklist. Incomplete applications will not be reviev~d. <br /> ~ Applicant Informallon complete <br /> ..~ Budge! addilion correcl <br /> ~ Bu~gel Summa~lndP[o~ecl Budgel complele <br /> ~ Description of O~gan~alion complele <br /> ~ Summar~ Statemen~ ol ~pose complele <br /> ~ Discipline. Type of ~ivily an~ P~o~ecl Type codes to.ecl <br /> ~ Na.ali~ complete on the ~orm <br /> ~ Attachments ~mplele and in duplicate <br /> ~ Loca: Aris Council~nla~ed: <br /> Name Tish ~atri~ ~l~e [xecu:~ve O~rector <br /> <br /> <br />