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IMLS PROGRAM INFORMATION SHEET <br />7. Population Served <br />Please select the population(s) served by the proposed project: <br />❑ General Population <br />❑ Early Childhood /Preschool (0 -5 years) <br />❑ Middle Childhood /Primary School (6 -12 years) <br />❑ <br />✓ Adolescents /High School (13 -19 years) <br />0 Adults <br />0 Aging, Elderly, Senior Citizens (65+ years) <br />❑ Ethnic or Racial Minority Populations other than <br />Native Americans /Native Hawaiians <br />❑✓ Families /Intergenerational <br />0 Immigrants /Refugees <br />❑ Military Families <br />If other, please specify: <br />8. Museum Profile (Museum Applicants Only) <br />0 Museum and /or Library Professionals <br />7 Native Americans /Native Hawaiians /Alaskans Native <br />❑ People with Mental or Physical Challenges /Disabilities <br />❑✓ People who are Low Income /Eoonomically Disadvantaged <br />❑✓ Rural Populations <br />❑ Scholars /Researchers <br />❑ Unemployed <br />❑✓ Urban Populations <br />❑ Other <br />a. Is the Institution either a unit of state or local government or a private not - Tor - profit organization <br />that has tax - exempt status under the Internal Revenue Code and that is organized on a ® Yes 0 No <br />permanent basis for essentially educational or aesthetic purposes? <br />b. Does the institution own or use tangible objects, whether animate or inanimate? <br />c. Does the institution care For tangible objects, whether animate or inanimate? <br />d. Are these objects exhibited by the institution to the general public on a regular basis through <br />facilities the institution owns or operates? <br />e. Is the institution open and exhibiting tangible objects to the general public at least 120 days a <br />year through facilities the institution owns or operates? <br />f. Institution's attendance for the 12 -month period prior to the application <br />On -site: Off-site: <br />g. Year the institution was first open and exhibiting to the public: <br />0 Yes <br />0 No <br />0 Yes <br />0 No <br />0 Yes <br />0 No <br />0 Yes <br />0 No <br />h. Total number of days the institution was open to the public for the 12 -month period prior to application: <br />i. Does the institution employ at least one professional staff member, or the full -time equivalent, <br />whether paid or unpaid, who is primarily engaged in the acquisition, care, or exhibition to the 0 Yes 0 No <br />public of tangible objects owned or used by the institution? <br />j. Number of full -time paid Institution staff <br />k. Number of full -time unpaid institution staff: LIL 1 <br />I. Number of part -time paid institution staff: LL LL_�LL <br />m. Number of part -time unpaid institution staff: <br />1 OMB Number 3137 -0071, Expiration date: 9/30/2015. <br />