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DocuSign Envelope ID:64D61581-25C0-4408-84C2-991109E2DF4C XHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> k) 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 /> Please note: The numbers listed below reference typical daily attendance at each meal site which, <br /> because of their open nature, does not represent the total number of children who received services <br /> over the course of the summer. <br /> Program Target Population Demographics <br /> Actual Estimated Projected <br /> 2015-16 2016-17 2017-18 <br /> Gender <br /> Male <br /> Female * <br /> Total 0 0 0 <br /> Ethnicity <br /> African-American * <br /> American Indian or Alaska Native * <br /> Asian * <br /> Caucasian * <br /> Native Hawaiian or other Pacific Islander * <br /> Other: specify <br /> Total 0 0 0 <br /> Of the above, how many Hispanic/Latino * <br /> Of the above, how many non-Hispanic/Latino * <br /> Total 0 0 0 <br /> Age <br /> 0-5 years 80 <br /> 6-18 years 220 <br /> 19-50 years <br /> 51+ years <br /> Total 0 301 450 <br /> Geographic Location <br /> Alamance County <br /> Chatham County <br /> Durham County <br /> Wake County <br /> Orange County Breakdown <br /> Chapel Hill Public Housing 79 119 <br /> Town of Chapel Hill (Non-Public Housing) *127 190 <br /> Town of Carrboro 65 87 <br /> Town of Hillsborough 0 0 <br /> City of Mebane(Orange County) 0 0 <br /> PROGRAM INFORMATION 2/9/2017 10:30:46 AM Page 5 • . <br />