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DocuSign Envelope ID: CB0C1343-06EB-4BE7-9AF6-62EE77BD69FE 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: X Persons Households Units <br /> Program: Sexual Health Education and Outreach <br /> Program Beneficiary Demographics <br /> Actual Estimated Projected <br /> 2014-15 2015-16 2016-17 <br /> Gender <br /> Male 82 110 <br /> Female 153 253 <br /> Total 235 _ 363 _ 0 <br /> Of the females, how many are single- <br /> female Head of Households (Omit for <br /> Human Services) NA NA NA <br /> Ethnicity <br /> African-American 44 95 95 <br /> American Indian or Alaska Native <br /> Asian <br /> Caucasian 181 187 187 <br /> Native Hawaiian or other Pacific <br /> Islander <br /> Other 10 81 81 <br /> Total 235 363 363 <br /> Of the above, how many <br /> Hispanic/Latino 58 100 100 <br /> Of the above, how many non- <br /> Hispanic/Latino 177 263 263 <br /> Total 235 _ 363 _ 363 <br /> Age <br /> 0-5 years <br /> 6-18 years 151 233 233 <br /> 19-50 years 84 130 130 <br /> 51-61 years <br /> 62+ years <br /> Total 0 363 363 <br /> Geographic Location <br /> Durham City <br /> Durham County <br /> Carrboro 58 90 90 <br /> Chapel Hill 152 235 235 <br /> Chapel Hill Public Housing Residents <br /> Orange County 25 38 38 <br /> Raleigh <br /> Main Application 1/21/2016 18:35:26 a1/p1 Page 10 of 2 " <br />