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DocuSign Envelope ID: 17COF518- 9238 - 480E- 96E6- 77FFCCC2626B <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />Additional Program Information <br />n) 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 />Actual <br />Estimated <br />Projected <br />2016 -17 <br />2017 -18 <br />2018 -19 <br />Lender <br />Male <br />26 <br />23 <br />25 <br />Female <br />22 <br />26 <br />25 <br />Total <br />48 <br />49 <br />50 <br />Etin�c <br />African-American <br />19 <br />24 <br />23 <br />American Indian or Alaska Native <br />0 <br />0 <br />0 <br />Asian <br />2 <br />0 <br />2 <br />Caucasian <br />27 <br />25 <br />25 <br />Native Hawaiian or other Pacific Islander <br />0 <br />0 <br />0 <br />Other: specify Latino <br />0 <br />0 <br />0 <br />Total <br />48 <br />49 <br />50 <br />Of the above, how many Hispanic/Latino <br />2 <br />0 <br />2 <br />Of the above, how many non-Hispanic/Latino <br />46 <br />49 <br />48 <br />Total <br />48 <br />49 <br />50 <br />0 -5 years <br />6 -18 years <br />19 -50 years <br />1 <br />2 <br />3 <br />51+ years <br />47 <br />47 <br />47 <br />Total <br />48 <br />49 <br />50 <br />� Geographllc Location ;.. -' <br />Alamance County <br />1 <br />4 <br />5 <br />Chatham County <br />1 <br />2 <br />2 <br />Durham County <br />2 <br />8 <br />9 <br />Wake County <br />0 <br />0 <br />0 <br />Orange County Breakdown <br />Chapel Hill Public Housing <br />0 <br />Q <br />1 <br />Town of Chapel :Hill (Non Public Housing) . <br />10 <br />7 <br />8 <br />Town of Carrtoro <br />1 <br />0 <br />1 <br />Town of Hillsborough <br />20.: <br />13 <br />13 <br />City of Mebane (Orange County) <br />6 <br />7 <br />5 <br />OrangeCdunty (Outside Municipalities) <br />7 <br />8 <br />6 . <br />Total <br />48 <br />49 <br />50 <br />PROGRAM INFORMATION 112312018 4:21:18 <br />PM <br />P a g e <br />19 of <br />25 <br />