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Agency Name: <br />Program Name: <br />7. Program Objectives Using County Nonprofit Grant Program Funds: <br />8. TABLE I: <br />What are the intended measurable outputs or outcomes that would be achieved with this funding? <br />PROGRAM PERFORMANCE MEASURES Applicant Projected Results <br />(i.e.: Number of clients served, workshops or events held, volunteer hours, etc. Describe, be specific.) <br />Attach additional pages as necessary. <br />9. TABLE II: <br />PROGRAM EXPENDITURES <br />FY 12 -13 <br />Actual* <br />FY 13 -14 <br />Total Budget <br />FY 13 -14 <br />Grant Re q <br />Salary and Wages <br />Professional Fees <br />Operations <br />Supplies <br />Equipment <br />Other: <br />Other: <br />Other: <br />Other: <br />Other: <br />TOTAL <br />EXHIBIT A <br />NONPROFIT GRANT APPLICATION <br />FY 2013 -2014 <br />*If applicable <br />Page 3 of 7 <br />