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DocuSign Envelope ID:9859FC6D-3EEB-4C7D-9891-BE11A53D9413 t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> African-American 15870 16148 16430 <br /> American Indian or Alaska Native 999 1016 1034 <br /> Asian 11107 11301 11499 <br /> Caucasian 108352 110248 112178 <br /> Native Hawaiian or other Pacific <br /> Islander -- -- -- <br /> Other 3605 3668 3732 <br /> Total 139933 142382 144874 <br /> Of the above, how many <br /> Hispanic/Latino -- 18431 20429 <br /> Of the above, how many non- <br /> Hispanic/Latino -- 128219 129334 <br /> Total -- 146650 149763 <br /> Age <br /> 0-5 years 7613 7746 7882 <br /> 6-18 years 23644 24058 24479 <br /> 19-50 years 65659 66808 67977 <br /> 51-61 years 20166 20519 20878 <br /> 62+ years 22402 22794 23193 <br /> Total 139933 142382 144874 <br /> Geographic Location <br /> Durham City <br /> Durham County <br /> Carrboro 21356 21730 <br /> Chapel Hill 59326 60364 <br /> Chapel Hill Public Housing Residents <br /> Orange County 145926 148479 <br /> Raleigh <br /> Wake County <br /> Total I -- -- - <br /> Income Level —See following chart <br /> (Omit for HS) <br /> < 30%Area Median Income 8757 8910 <br /> 31-50% Area Median Income 5710 5810 <br /> 51-80% Area Median Income 9266 9428 <br /> > 80%Area Median Income 30500 31034 <br /> Total -- 54288 55182 <br /> Special Needs (Omit for HS) <br /> Elderly(Over 62) 22402 22794 23193 <br /> Disabled (not elderly) 15459 15730 16005 <br /> Homeless 108 -- -- <br /> People with HIV/Aids 313 -- -- <br /> Total 38282 -- -- <br /> Main Application 5/25/2016 10:30:45 AM P 10 of 26 <br />