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onouaign Envelope ID:42FCuoE4*ano-4rF4+2n1-0AoAo7onnAnn <br /> EXHIBIT A <br /> PROVIDERS OUTSIDE AGENCY APPLICATION <br /> Additional Program Information <br /> I) Target Population <br /> Complete the following t8bl8S, 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 348 132 348 <br /> Female 531 283 567 <br /> - <br /> Other 20 1 <br /> __ <br /> Total 899 416 915 <br /> . <br /> Ethnicity <br /> African-American 6 0 <br /> American Indian or Alaska Native 0 0 <br /> Asian 16 23 45 <br /> _— <br /> Caucasian 45 18 45 <br /> Native Hawaiian or other Pacific s�aoi� Islander d 0 O <br /> an er � <br /> Other: specify Hispanics, Middle Eastern, <br /> European, Ukrainian 832 375 850 <br /> Total 809 416 915 <br /> Of the abovo, how many Hispanic/Latino 70G 375 825 <br /> � � <br /> Of the above, how many non-Hispanic/Latino 103 41 90 <br /> . <br /> Total 896 416 915 . <br /> Age <br /> 0-5 years n/a <br /> 6-18 years 1 n/u <br /> 19-50 years I mu = I <br /> 51+ Years <br /> Total 0 O 0 <br /> Geographic Location <br /> Alamance County 17 8 <br /> Chatham County 13 5 <br /> Durham County 54 21 <br /> Wake County 13 5 <br /> Orange County Breakdown <br /> Chapel Hill Public Housing <br /> Town of Chapel Hill (Non-Public Housing) 337 156 350 <br /> Town of Carrboro 360 179 375 <br /> ! / <br /> Town of Hillsborough . 33 | 16 35 <br /> City of Mebane (Orange County) 7 4 8 <br /> Orange County (Outside Municipalities) 24 0 25 <br /> Other: 138 61 122 <br /> i | <br /> Total | 899 416 0 <br /> PROGRAM INFORMATION 1/31/2017 3:16:25 PM Page 1 4 of 3 2 <br />