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Program 1r formation <br /> 1.Program Name* <br /> VAP=Visitor Assistant Program <br /> 2.Number of years the program you are applying for has been in operation.* <br /> 20 <br /> 3.Do you currently have or anticipate having any other coeitracts/agreements with the County of Hawaii during the fiscal year of this grant cycle <br /> for the program you are applying for?* <br /> .: Yes No <br /> 4.Have you previously applied for and received a County Nonprofit Grant Award?* <br /> O Yes S No <br /> 5.Select all areas of Hawai9 Island where the program will be administered,delivered,and implemented.* <br /> t'Al Puna Hamakua a North Kona <br /> Ni South Hilo ><. North Kohala `'; South Kona <br /> a North Hilo • South Kohala Ka.0 <br /> 6.Identify the age group of the target audience(s)the program will serve.* <br /> • <br /> {i Infancy(0-3) itg Play Age.(3-5) ?:' School Age(6-11) <br /> Ni Adolescence(12-17) : Young.Adulthood(18-39) r: Middle Adulthood(40-59) <br /> 60+ <br /> Kupuna P (60+) <br /> 7.Identify the primary services or activities to be provided. <br /> * <br /> } Educational concerns &'E.i Culture and the arts <br /> Needs of the poor 0 Victims of Health or Social Crises <br /> CI Youth Aged <br /> 0 Victims of Crimes s Physical/Emotional Disabilities <br /> Public health and welfare of the people and the environment <br /> In years past,applicants were asked to provide the County with an amount needed to advance their program or service. The County receives <br /> more than 200 applications for grants-in-aid each year,resulting in nearly every applicant getting a"slice"of what they requested and some not <br /> being able to advance on their proposal. We recognize this grant is a small piece of your larger operation.So,please identify a realistic amount • <br /> that accurately reflects your need to administer your program or service. Be thoughtful in what you need as the County will make a yes/no <br /> determination on the amount you are applying for. <br /> • <br /> • 8.Identify the amount of funds you are applying for.Must be equivalent or less than your estimated expenditures.* <br /> O $2,500 0 $5,000 0 $7,500 0 $10,000 <br /> res $15,000 :< $20,000 $25,000 $30,000 <br /> • $35,000 0 $40,000 `r $45,000 0 $50,000 <br /> VASH Hawaii Island-VAP=Visitor Assistant Program <br />