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DEMOGRAPHICS <br /> Type of Organization: <br /> Applicant Agency Implementing Agency <br /> ❑ Faith-based organization ❑ Faith-based organization <br /> ❑ Juvenile Justice ❑ Juvenile Justice <br /> ❑ Non-profit community-based organization ❑ Non-profit community-based organization <br /> ❑ Other community-based organization ❑ Other community-based organization <br /> ❑ Other government agency ❑ Other government agency <br /> ❑ Police/other law enforcement ® Police/other law enforcement <br /> ❑ School/Other Education ❑ School/Other Education <br /> ❑ Unit of Local Government ❑ Unit of Local Government <br /> Geographical Area: <br /> Detail the geographic area to be served: <br /> Cass and Richland County,North Dakota <br /> List the street address(es)where services are provided: <br /> 1325 11`h Street South, Fargo,North Dakota <br /> 315 North University Drive, Fargo North Dakota <br /> Youth Served: <br /> Provide an estimate of the number of juveniles to receive direct service.The total amounts under Race and Gender must equal the <br /> estimated total juveniles to be served. <br /> Race Gender <br /> Estimated Total <br /> Juveniles Age Native <br /> To Be Served Range White Black Hispanic Asian American Other Male Female <br /> 100 10-18 83 7 4 1 3 2 49 51 <br /> Primary Status of Juveniles to be served (check all that applies): <br /> Justice Related Criteria Other <br /> ® At-Risk Population (No Prior Offense) ❑ Mental Health <br /> ❑ First-Time Offenders ❑ Pregnant <br /> ❑ Repeat Offenders ® Substance Abuse <br /> ❑ Sex Offenders ® Truant/Dropout <br /> ® Status Offenders <br /> ❑ Violent Offenders <br /> JABG -8 <br />