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MAR 19 1980 GRANT APPLICATION Page 2 of 7 (use attachment page if ngcessary) N. 1. Give a brief overview of the proposed program: See Attached 2. Identify the problem this program will address. See Attached MOK -43 PAGE 114 3. Specify the target population in your program service area af- fected by this problem. How large is the target population? Provide quantifiable numbers. The target population consist of mentally retarded adults over 18 years of age. There are approximately 10-f2 clients in the program service area. 4. What is the severity of the problem among the target population. Provide quanitifiable numbers/percentages, etc. 10% of the target population are capable of learning necesary lawn maintance skills. This same group currently have no opportunity to apply their skill. 5. How will this program address the problem? See attached 6. How many and what percentage of the target population will be served? Is this amount an increase over the existing services. 6 persons will be served during the grant period. Thib represents approximately 40%-50% of the target population. 7. Will this program provide direct access or availability of other services? If yes, how? Clients are referred for supportive services to the Dept. of Health and Rehabilitative Services. 8. Is the program operating now? If yes, explain what changes this grant will provide fos.- This is a new program -a., 9. Will the CSTF grant funds be used by the local government or delegate agency as match to obtain other funds? If yes, what other funds and approximate total dollars -to be gained. No. 10. Identify program funding pattern and total budget A. Federal % Total FY Budget $_ B. State % S',3% C. Local e , % 5' %/ D. Other 7 11. Has this program previously received CSTF funds? When? No.