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DocuSign Envelope ID:A6B9A80E-25C6-439A-A77D-6C8B04CDDFE2 XHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Additional Program 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 Target Population Demographics <br /> Actual Estimated Projected <br /> 2015-16 2016-17 2017-18 <br /> Gender <br /> Male 946 965 985 <br /> Female 609 644 656 <br /> Total 1555 1609 1641 <br /> Ethnicity <br /> African-American 94 89 102 <br /> American Indian or Alaska Native 1 1 0 <br /> Asian 60 67 68 <br /> Caucasian 1,400 1,452 1,471 <br /> Native Hawaiian or other Pacific Islander <br /> Other: specify <br /> Total 1555 1609 1641 <br /> Of the above, how many Hispanic/Latino 60 84 77 <br /> Of the above, how many non-Hispanic/Latino 1495 1525 1,564 <br /> Total 1555 1609 1641 <br /> Age <br /> 0-5 years 34 36 40 <br /> 6-18 years 1521 1573 1601 <br /> 19-50 years <br /> 51+ years <br /> Total 1555 1609 1641 <br /> Geographic Location <br /> Alamance County 1 2 2 <br /> Chatham County 38 41 43 <br /> Durham County 814 838 853 <br /> Wake County 237 248 250 <br /> Other 28 30 34 <br /> Orange County Breakdown <br /> Chapel Hill Public Housing <br /> Town of Chapel Hill (Non-Public Housing) 317 325 331 <br /> Town of Carrboro 60 62 63 <br /> Town of Hillsborough 40 41 42 <br /> City of Mebane(Orange County) 1 2 2 <br /> Orange County(Outside Municipalities) 19 20 21 <br /> 1/12/2017 2:56:42 PM Page 24 .f 29 <br />