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***BEGIN NEW SECTION— "Program/Service Information"*** <br />Program/Service Information <br />1. Program/Service Name <br />2. Number of years the program/service you are applying for has been in operation. <br />3. For the program or service for which you are applying, do you currently have or anticipate <br />having any other contracts/agreements with any other department of the County of Hawai'i <br />during the fiscal year of this grant cycle (July 1, 2024 - June 30, 2025)? <br />❑ Yes <br />❑ No <br />4. If you answered "yes" to the previous question, please tell us with what department and briefly <br />describe the contract/agreement deliverables. <br />5. Have you previously applied for and received a County Nonprofit Grant Award within the last <br />five years? <br />❑ Yes <br />❑ No <br />If you answered yes, please list the programs/services and award amounts within the last five <br />years. <br />6. Select all areas of Hawai'i Island where the program/service will be administered, delivered, <br />and implemented. <br />❑ Puna <br />❑ South Hilo <br />❑ North Hilo <br />❑ Hamakua <br />❑ North Kohala <br />❑ South Kohala <br />❑ North Kona <br />❑ South Kona <br />❑ Ka'G <br />7. If multiple boxes were checked in the previous question, please briefly describe your capacity <br />and plan to outreach to those geographic areas. <br />8. Identify the age group of the target audience(s) the program/service will serve. <br />❑ Infancy (0-3) ❑ Play Age (3-5) ❑ School Age (6-11) <br />❑ Adolescence (12-17) ❑ Young Adulthood (18-39) ❑ Middle Adulthood (40-59) <br />❑ Kupuna (60+) <br />