(Please attach additional pages as needed) PROGRAM SCHEDULE PROJECTED PROGRAM ADDRESS(ES) (Start and End Dates, Days of the ENROLLMENT (Unduplicated In Week & Hours) Numbers) 1. 2. 3. 4. (Do not complete for non-one-day events; attach additional pages as needed) ONE-DAY EVENTS Type of Event Event location Event date and time Estimated number of participants PROJECTED DEMOGRAPHICS OF PARITICIPANTS TO BE SERVED (UNDUPLICATED NUMBERS NOT A PERCENTAGE) Ethnicity # Age # Borough # Gender # White 0-4 Bronx Black 5-9 Brooklyn Male Hispanic 10-13 Manhattan Female Asian 14-16 Queens In the Citywide numbers please do not Native American 17-24 Staten Island include any borough participants. Others 24+ Citywide*
PROGRAM ADDRESS(ES) (Please attach additional pages as needed) PROGRAM SCHEDULE (Start and End Dates, Days of the Week & Hours) PROJECTED ENROLLMENT (Unduplicated In Numbers) 1. 2. 3. 4. ONE-DAY EVENTS (Do not complete for non-one-day events; attach additional pages as needed) Type of Event Event location Event date and time Estimated number of participants PROJECTED DEMOGRAPHICS OF PARITICIPANTS TO BE SERVED (UNDUPLICATED NUMBERS NOT A PERCENTAGE) Ethnicity # Age # Borough # Gender # White 0-4 Bronx Black 5-9 Brooklyn Male Hispanic 10-13 Manhattan Female Asian 14-16 Queens Native American 17-24 Staten Island Others 24+ Citywide* In the Citywide numbers please do not include any borough participants.
FY17_Over_100K_Final-06-28-16.docx