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DocuSign Envelope ID: EB541A3B-1E01-49AB-9E09-7987ECAEC1C4 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 percentages, as <br /> applicable, in each category. <br /> Please indicate whether this project/program will serve: /1 Persons Households ri Units <br /> Program: —.—_ — <br /> Please indicate whether this project/program will serve: /1 Persons n <br /> Households C Units <br /> Program: Summer Enrichment Camp <br /> Program Beneficiary Demographics <br /> Actual Estimate Projt <br /> 2014-15 d c <br /> 2015-16 201E <br /> Gender <br /> Male 19 27 30 <br /> Female 21 29 30 <br /> Total 40 56 <br /> Of the females, how many are single-female Head of Households (Omit for Human <br /> Services) <br /> Ethnicity – – <br /> African-American 34 51 50 <br /> American Indian or Alaska Native 0 <br /> Asian 5 <br /> Caucasian 1 5 <br /> – <br /> Native Hawaiian or other Pacific Islander <br /> Other 1 <br /> Total 52 <br /> Of the above, how many Hispanic/Latino 5 4 0 <br /> Of the above, how many non-Hispanic/Latino 35 52 <br /> Total 40 56 <br /> Age ---- <br /> 0-5 years <br /> 6-18 years 40 56 _ 60 <br /> 19-50 years <br /> 51-61 years <br /> 62+ years <br /> Total 40 56 <br /> Main Application1/25/2016P age 10 of <br />