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onouaign Envelope ID:42FCuoE4*ano-4rF4+2n1-0AoAo7onnAnn <br /> EXHIBIT <br /> PROVIDERS OUTSIDE AGENCY APPLICATION <br /> Additional Proqram 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 � ���:�'�,��`- ��( �� � �' `` _^ <br /> Actual Estimated Projected ' <br /> 2015-16 201E-17 2017-18 <br /> Gender ~ ` ---- - <br /> Male 224 250 250 <br /> Female 30 75 1 75 <br /> Total 314 325 325 <br /> Ethnicity ��'` ����;' ' <br /> African-American 46 50 50 <br /> American Indian or Alaska Native 0 0 0 I <br /> Asian 2 5_^ 5 <br /> Caucaniam �5 20 20 <br /> - _ <br /> Native Hawaiian or other Pacific Islander 0 0 0 <br /> Other: upeo�yAf�oa (COB not given), Hispanic <br /> ------- ---- <br /> 241 250 250 <br /> Total 314 325__ 325 <br /> Of the above, how many Hispanic/Latino 241 250 250� <br /> Of the above, how many non-I-tispanic/Latino 73 75 75 <br /> Total 314 325 325 | <br /> Age <br /> 0-5 years n/a <br /> 6-18 years <br /> 19-50 years _ <br /> 51+ years <br /> Total 0 0 0 <br /> phic Location <br /> Alamance County 2 2 2 <br /> Chatham Count 3 2 2 <br /> Durham County 30 30 20 <br /> Wake County 1 1 1 <br /> Orange County Breakdown <br /> Chapel Hill Public Housing <br /> Town of Chapel Hill (Non-Public Housing) __ 139 140 , 140 <br /> Town of Carrboro 110 110 110 <br /> . <br /> Town of Hillsborough 8 0 0 <br /> City of Mebane (Orange County) 6 0 0 <br /> Orange County (Outside K4unioipa|ides) 1, 7 25 25 <br /> Other: Unknown 8 25 25 <br /> Total ( 314 0 0 <br /> PROGRAM INFORMATION 1/31/2017 3:16:25 PM Page 2 2 of 3 2 <br />