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San Leandro Commun <br />ORGANIZATION: <br />PROGRAM TITLE: <br />GRANT APPLICATION <br />4. Target Population{s)/Client Demographics <br />a. Will this program's activities specifically address any of the following needs? (Select more than one, if applicable.) <br />Homeless prevention _ Homeless persons <br />Persons with disabilities Persons with HIV/AIDS N/A <br />b. Are you able to track the numbers of persons/households and services related to the above populations? <br />[ ]Yes [ ] No [ ] N/A <br />c. If funded, you will also be required to maintain records on ethnicity, gender, family size, female/male heads of <br />households, geographic location, income and unduplicated clients served by the program. Are you able to track this <br />information? <br />[ ]Yes [ ] No <br />d. Briefly describe your program's target population(s). What are the common needs or characteristics, risk factors, <br />barriers, health or economic status, etc.? Cite any relevant data you may have regarding the characteristics. Why do <br />you believe this program will be effective with the population(s)? <br />e. How wilt target population(s) be referred to or find this program? What is your experience in outreach to the <br />population(s)? What are your experience and expertise in working with the population(s)? <br />Briefly describe the needs of the neighborhoods and geographic areas to be served. What unmet need(s) will the <br />program address or mitigate? How will this program use or work with other community resources to address the <br />identified needs? Why do you believe this program will be effective in the geographic areas identified? <br />Assistance Fundin <br />16 <br />