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DocuSign Envelope ID: D2CB2439-4B3B-42E7-A090-286FDDD6E948 t A - continued <br /> Provider's Outside Agency Application <br /> 19-50 years 39 42 46 <br /> 51-61 years 1 3 2 <br /> 62+years 1 1 1 <br /> Total 115 130 140 <br /> Geographic Location <br /> Durham City 0 0 0 <br /> Durham County 0 0 0 <br /> Carrboro 70 75 76 <br /> Chapel Hill 45 55 64 <br /> Chapel Hill Public Housing Residents <br /> Orange County <br /> Raleigh <br /> Wake County <br /> Total 115 130 140 <br /> Income Level—See following chart <br /> (Omit for HS) <br /> < 30%Area Median Income <br /> 31-50%Area Median Income <br /> 51-80%Area Median Income <br /> > 80%Area Median Income <br /> Total <br /> Special Needs (Omit for HS) <br /> Elderly(Over 62) <br /> Disabled (not elderly) <br /> Homeless <br /> People with HIV/Aids <br /> Total <br /> Please indicate whether this project/program will serve: x❑ Persons ❑ Households ❑ <br /> Units <br /> Program: Tech &Jobs Program <br /> Program Beneficiary Demographics <br /> Actual Estimated Projected <br /> 2014-15 2015-16 2016-17 <br /> Gender <br /> Male 5 7 8 <br /> Female 3 5 6 <br /> Total 8 12 14 <br /> Of the females, how many are <br /> single-female Head of Households(Omit <br /> for Human Services) <br /> Ethnicity <br />