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DocuSign Envelope ID: D2CB2439-4B3B-42E7-A090-286FDDD6E948 t A - continued <br /> Provider's Outside Agency Application <br /> Please indicate whether this project/program will serve: x❑ Persons ❑ Households ❑ <br /> Units <br /> Program: English as a Second Language <br /> Program Beneficiary Demographics <br /> Actual Estimated Projected <br /> 2014-15 2015-16 2016-17 <br /> Gender <br /> Male 2 3 4 <br /> Female 6 7 8 <br /> Total 8 10 12 <br /> Of the females, how many are <br /> single-female Head of Households(Omit <br /> for Human Services) <br /> Ethnicity <br /> African-American 0 0 0 <br /> American Indian or Alaska Native <br /> Asian 3 4 5 <br /> Caucasian 0 0 0 <br /> Native Hawaiian or other Pacific Islander <br /> Other 5 6 7 <br /> Total 8 10 12 <br /> Of the above, how many Hispanic/Latino 5 6 7 <br /> Of the above, how many <br /> non-Hispanic/Latino 0 0 0 <br /> Total 8 10 12 <br /> Age <br /> 0-5 years 0 0 0 <br /> 6-18 years 2 2 3 <br /> 19-50 years 6 8 8 <br /> 51-61 years 0 0 1 <br /> 62+years <br /> Total 8 10 12 <br /> Geographic Location <br /> Durham City 0 0 0 <br /> Durham County 0 0 0 <br /> Carrboro 5 6 7 <br /> Chapel Hill 3 4 5 <br /> Chapel Hill Public Housing Residents <br /> Orange County <br /> Raleigh <br /> Wake County <br />