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								    DocuSign Envelope ID: 8E8982E7 -EFF8- 4214- 979D- 9D572ED220CC 
<br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION 
<br />estimated total headcounts. Our events also include many repeat customers, so it is 
<br />impossible to correct for duplicate counts across multiple events. We are working towards 
<br />more accurate tracking of the one -on -one services we provide. The OC Sheriff's officers 
<br />will work with us on this. 
<br />Gender 
<br />Ethnicity 
<br />Age 
<br />Program Target Population Demographics 
<br />Male 
<br />Female 
<br />Total 
<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 
<br />Of the above, how many Hispanic /Latino 
<br />Of the above, how many non - Hispanic /Latino 
<br />Total 
<br />0 -5 years 
<br />6 -18 years 
<br />19 -50 years 
<br />51+ years 
<br />Total 
<br />Actual Estimated Projected 
<br />2016 -17 2017 -18 2018 -19 
<br />9,500 
<br />10,500 
<br />11,500 
<br />9,500 
<br />10,500 
<br />11,500 
<br />19,000 
<br />21,000 
<br />23,000 
<br />3,800 
<br />4,620 
<br />5,750 
<br />190 
<br />210 
<br />230 
<br />380 
<br />420 
<br />460 
<br />13,870 
<br />15,750 
<br />16,560 
<br />19,000 
<br />21,000 
<br />23,000 
<br />760 
<br />0 
<br />0 
<br />19,000 
<br />21,000 
<br />23,000 
<br />11520 
<br />1,680 
<br />3,450 
<br />17,480 
<br />19,320 
<br />19,550 
<br />19,000 
<br />21,000 
<br />23,000 
<br />2,280 
<br />2,100 
<br />2,300 
<br />2,470 
<br />3,150 
<br />3,450 
<br />9,500 
<br />12,600 
<br />13,800 
<br />5,700 
<br />3,150 
<br />3,450 
<br />19,000 
<br />21,000 
<br />23,000 
<br />Geographic Location See below for geographic information 
<br />Alamance County 
<br />Chatham County 
<br />Durham County 
<br />Wake County 
<br />Orange County Breakdown 
<br />Chapel Hill Public Housing 
<br />Town of Chapel Hill (Non - Public Housing) 
<br />Town of Carrboro 
<br />Town of Hillsborough 
<br />City of Mebane (Orange County) 
<br />Orange County (Outside Municipalities) 
<br />Total 19,000 21,000 23,000 
<br />PROGRAM INFORMATION 2/11/2018 4:28:29 PM Page 19 of 26 
<br />4,000 
<br />4,500 
<br />2,500 
<br />3,000 
<br />19,000 
<br />8,000 
<br />8,000 
<br />1,500 
<br />1,500 
<br />5,000 
<br />6,000 
<br />Total 19,000 21,000 23,000 
<br />PROGRAM INFORMATION 2/11/2018 4:28:29 PM Page 19 of 26 
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