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DocuSign Envelope ID:80528E57-64B2-4BCE-A558-776533408604 XHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Additional Program Information: Heritage Education <br /> • Target Population <br /> Complete the following tables, with numbers (not percentages) of individuals served and to <br /> be served, to the best of your ability, <br /> Program Target Population Demographics <br /> Actual Estimated Projec- <br /> 2015-16 2016-17 ted <br /> 2017-18 <br /> Gender <br /> Male 1023 1250 1300 <br /> Female 1024 1250 1300 <br /> Total 20470 2500 2600 <br /> Ethnicity <br /> African-American 325 425 4420 <br /> American Indian or Alaska Native <br /> Asian <br /> Caucasian 1250 1400 1456 <br /> Native Hawaiian or other Pacific Islander <br /> Other: specify 472 675 702 <br /> Total 2047 2500 2600 <br /> Of the above, how many Hispanic/Latino 372 425 445 <br /> Of the above, how many non-Hispanic/Latino 1675 2075 2158 <br /> Total 20470 2500 2600 <br /> Age <br /> 0-5 years <br /> 6-18 years 2047 2500 2600 <br /> 19-50 years <br /> 51+ years <br /> Total 20470 2500 2600 <br /> Geographic Location <br /> Alamance County <br /> Chatham County <br /> Durham County <br /> Wake County <br /> Orange County Breakdown <br /> (?)no <br /> Chapel Hill Public Housing (?)no data (?)no data data <br /> Town of Chapel Hill (Non-Public Housing) 473 650 650 <br /> Town of Carrboro 78 75 75 <br /> Town of Hillsborough <br /> City of Mebane (Orange County) <br /> Orange County (Outside Municipalities) 1496 1775 1775 <br /> Total 2047 2500 2600 <br /> PROGRAM INFORMATION 2/9/2017 1:10:02 PM : I 8 o If <br />