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2017-513-E Finance - EmPOWERment, Inc. - Outside Agency Performance Agreement
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2017-513-E Finance - EmPOWERment, Inc. - Outside Agency Performance Agreement
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Last modified
6/27/2018 11:47:08 AM
Creation date
9/27/2017 11:45:20 AM
Metadata
Fields
Template:
Contract
Date
7/1/2017
Contract Starting Date
7/1/2017
Contract Ending Date
6/30/2018
Contract Document Type
Agreement - Performance
Agenda Item
6/20/17
Amount
$27,500.00
Document Relationships
R 2017-513-E Finance - EmPOWERment, Inc. - Outside Agency Performance Agreement
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2017
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DocuSign Envelope ID:72266CE5-DF5A-471 E-B671-CC65C8960691 <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Additional Program Information <br /> I) Target Population <br /> Complete the following tables, with numbers (not percentages) of individuals served and to be <br /> served, to the best of your ability, <br /> Program Target Population Demographics <br /> Actual Estimated Projected <br /> 2015-16 2016-17 2017-18 <br /> Gender <br /> Male 259 240 272 <br /> Female 354 363 372 <br /> Total 613 603 644 <br /> Ethnicity <br /> African-American 374 406 393 <br /> American Indian or Alaska Native 1 0 1 <br /> Asian 8 3 8 <br /> Caucasian 211 179 222 <br /> Native Hawaiian or other Pacific Islander 0 0 0 <br /> Other: specify Hispanic 19 15 20 <br /> Total 613 603 644 <br /> Of the above, how many Hispanic/Latino 16 15 17 <br /> Of the above, how many non-Hispanic/Latino 597 588 627 <br /> Total 613 603 644 <br /> Age <br /> 0-5 years 63 69 66 <br /> 6-18 years 52 62 55 <br /> 19-50 years 297 267 312 <br /> 51+ years 201 205 211 <br /> Total 613 603 644 <br /> Geographic Location <br /> Alamance County <br /> Chatham County <br /> Durham County <br /> Wake County <br /> Orange County Breakdown, <br /> Chapel Hill Public Housing <br /> Town of Chapel Hill(Non-Public Housing) 276 251 290 <br /> Town of Carrboro 337 352 354 <br /> Town of Hillsborough <br /> City of Mebane (Orange County) <br /> Orange County(Outside Municipalities) 0 0 0 <br /> Total 613 603 644 <br /> PROGRAM INFORMATION 1/25/2017 4:42:59 PM P -Lc;;i a 18 oi 2 2 <br />
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