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DocuSign Envelope ID: B55679E1-82FB-4A06-BBCF-6BC218E4CADA t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> Male 722 731 795 <br /> Female 469 466 507 <br /> Total 1191 1197 1302 <br /> Of the females, how many are single- <br /> female Head of Households (Omit for <br /> Human Services) <br /> Ethnicity <br /> African-American 17 18 30 <br /> American Indian or Alaska Native <br /> Asian 37 26 40 <br /> Caucasian 1137 1153 1232 <br /> Native Hawaiian or other Pacific <br /> Islander <br /> Other <br /> Total 1191 1197 1302 <br /> Of the above, how many Hispanic/Latino 36 29 42 <br /> Of the above, how many non- <br /> Hispanic/Latino 1155 1168 1260 <br /> Total 1191 1197 1302 <br /> Age <br /> 0-5 years 51 110 115 <br /> 6-18 years 1138 1085 1185 <br /> 19-50 years 2 2 2 <br /> 51-61 years <br /> 62+ years <br /> Total 1191 1197 1302 <br /> Geographic Location <br /> Durham City 608 595 600 <br /> Durham County 12 20 20 <br /> Carrboro 30 45 60 <br /> Page. 10 of 23 <br />