; or (I) any other activities that the Secretary may require. (4) Preference In awarding grants, contracts, or cooperative agreements under this subsection, the Secretary shall give preference to applications that have been approved for programs that involve a comprehensive approach through multiple entities described in paragraph (1) to establish, enhance, and expand educational programs that will result in the development of a competitive applicant pool of individuals with disabilities who desire to pursue careers in reproductive health care services. (5) Consideration for awards In awarding grants, contracts, or cooperative agreements under this subsection, the Secretary shall— (A) consider current enrollment trends and the needs of certain populations, including individuals with disabilities