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DocuSign Envelope ID:0E0892A5-AB8C-4E61-8B53-2125B8922B1C XHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Additional Proclram 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 /> Projected <br /> 2017-18 <br /> Actual Estimated (Orange <br /> 2015-16 2016-17 County <br /> (program in (program in <br /> Chapel Hill) Chapel Hill) programming <br /> only) <br /> Gender <br /> Male 462 288 399 <br /> Female 924 578 800 <br /> 1,199 <br /> Total 1,386 866 <br /> Ethnicity <br /> African-American 485 303 223 <br /> American Indian or Alaska Native <br /> Asian 155 95 115 <br /> Caucasian 469 295 683 <br /> Native Hawaiian or other Pacific Islander <br /> Other: specify Hispanic/Latino <br /> 277 173 178 <br /> Total 1,386 866 1,199 <br /> Of the above, how many Hispanic/Latino 277 173 178 <br /> Of the above, how many non-Hispanic/Latino 1,109 693 1,021 <br /> Total 1,386 866 1,199 <br /> Age <br /> 0-5 years 429 379 485 <br /> 6-18 years 732 321 378 <br /> 19-50 years 150 111 260 <br /> 51+years 75 55 76 <br /> Total 1,386 866 1,199 <br /> Geographic Location <br /> Alamance County 7 <br /> Chatham County 7 <br /> Durham County 122 40 <br /> Wake County 78 2 <br /> Orange County Breakdown <br /> Chapel Hill Public Housing 800 315 508 <br /> Town of Chapel Hill (Non-Public Housing) 219 193 93 <br /> PROGRAM INFORMATION 2/9/2017 1:27:17 PM Pago 22 of 30 <br />