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DocuSign Envelope ID:24839407-DB2D-47A2-B399-3BEA061662C1 t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> Information to Complete <br /> j.) Target Population <br /> Complete the following tables to the best of your ability. Show numbers of participants and <br /> percentages, as applicable, in each category. <br /> Please indicate whether this project/program will serve: ® Persons ❑ Households ❑ Units <br /> Program: Meals for the Homebound <br /> Program Beneficiary Demographics <br /> Actual Estimated Projected <br /> 2014-15 2015-16 2016-17 <br /> Gender <br /> Male 91 93 100 <br /> Female 159 172 190 <br /> Total 250 265 290 <br /> Of the females, how many are single- <br /> female Head of Households (Omit for <br /> Human Services) <br /> Ethnicity <br /> African-American 101 100 109 <br /> American Indian or Alaska Native <br /> Asian 7 5 6 <br /> Caucasian 139 160 170 <br /> Native Hawaiian or other Pacific <br /> Islander <br /> Other 3 5 5 <br /> Total 250 265 290 <br /> Of the above, how many <br /> Hispanic/Latino 3 5 5 <br /> Of the above, how many non- <br /> Hispanic/Latino 247 260 285 <br /> Total 250 265 290 <br /> Age <br /> 0-5 years 0 0 0 <br /> 6-18 years 0 0 0 <br /> 19-50 years 9 9 10 <br /> 51-61 years 45 42 46 <br /> 62+ years 196 214 234 <br /> Total 250 265 290 <br /> Geographic Location <br /> Durham City <br /> Durham County <br /> Carrboro 78 84 92 <br /> Chapel Hill 117 112 123 <br /> Main Application 5/24/2016 9:18:54 AM P of 2 <br />