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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. If your organization is submitting two Waiwai Grant applications on behalf of its own <br /> programs/services,please rank your proposals in order of priority for funding.(Note: <br /> Applications submitted as a nonprofit fiscal sponsor do not count toward your organization's <br /> two-application limit and do not need to be ranked.) <br /> Program/Service Name <br /> Priority#1 <br /> Priority#2 <br /> (Note for the programmer:Have#3 be optional.Do not require applicants to complete the field for <br /> submission.) <br /> 4. For the program/service for which you are applying,do you currently have or anticipate having <br /> any other contracts/agreements with any other department of the County of Hawai'i during <br /> the fiscal year of this grant cycle(July 1,2025-June 30,2026)? <br /> o Yes o No <br /> 5. If you answered"Yes"to the previous question,please tell us with what department and briefly <br /> describe the contract/agreement deliverables. <br /> 6. Have you previously applied for and received a County Nonprofit Grant Award within the last 3 <br /> years? <br /> o Yes o No <br /> If"Yes",please list grant awards for the last 3 years: <br /> FY 22-23 FY 23-24 FY 24-25 <br /> Program/Service Name <br /> Amount of Grant Award <br /> 7. Select all areas of Hawai'i Island where the program/service will be administered,delivered, <br /> and implemented. <br /> ❑ Puna ❑ Hamakua ❑ North Kona <br /> ❑South Hilo ❑ North Kohala ❑South Kona <br /> ❑ North Hilo ❑South Kohala ❑ Ka'u <br />