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DocuSign Envelope ID:A6B9A80E-25C6-439A-A77D-6C8B04CDDFE2 XHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> 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 436 43 173 <br /> Female 304 27 110 <br /> Total 740 70 283 <br /> Ethnicity <br /> African-American 61 6 24 <br /> American Indian or Alaska Native 0 0 0 <br /> Asian 68 12 27 <br /> Caucasian 611 52 232 <br /> Native Hawaiian or other Pacific Islander 0 0 0 <br /> Other: specify <br /> Total 740 70 283 <br /> Of the above, how many Hispanic/Latino 157 6 61 <br /> Of the above, how many non-Hispanic/Latino 583 64 122 <br /> Total 740 70 283 <br /> Age <br /> 0-5 years 90 17 68 <br /> 6-18 years 650 53 215 <br /> 19-50 years <br /> 51+ years <br /> Total 740 70 283 <br /> Geographic Location <br /> Alamance County 1 <br /> Chatham County <br /> Durham County 168 68 85 <br /> Wake County 1 <br /> Orange County Breakdown <br /> Chapel Hill Public Housing ? ? ? <br /> Town of Chapel Hill (Non-Public Housing) 406 2 3 <br /> Town of Carrboro 162 195 <br /> Town of Hillsborough 2 <br /> City of Mebane(Orange County) <br /> Orange County(Outside Municipalities) <br /> Total 740 70 283 <br /> 1/12/2017 2:56:42 PM Page 15 .f 29 <br />