On the forms approved by the Administration as part of the application required under Regulation .04C of this chapter or COMAR 10.21.04.05B, a program shall submit a PSP that includes a description of: The range of services that the program will provide; The populations to be served, including age groups and other relevant characteristics, and the number of individuals that the program expects to serve; Program sites and hours of operation, and the method to ensure that services are accessible to the individuals served; The goals, objectives, and expected outcomes of the program; The composition of the program's governing body, board of directors, or advisory committee, whichever applies, as outlined in COMAR 10.21.17.05A; The jurisdictions where services will be provided and the number of services to be provided in each jurisdiction; and The jurisdiction where most of the program's services will be rendered.