Orange County NC Website
Browse       Search
DocuSign Envelope ID: 74839431 - 9216- 429F- BFA4- 2AC6473BD9D3 <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />Additional Pro ram Information: Anger Management <br />nj 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 />Gender <br />2Q16 -17 2017 -18 2018 -19 <br />- <br />Male 3 14 21 <br />Female 1 6 g <br />Ethnicity Total 4 20 30 <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 />Age <br />Geographic Location <br />0 -5 years <br />6 -18 years <br />19 -50 years <br />51+ years <br />Total <br />4 <br />14 <br />21 <br />4 <br />18 <br />27 <br />4 <br />20 <br />30 <br />1 <br />6 <br />g <br />0 <br />20 <br />0 <br />2 <br />3 <br />4 <br />20 <br />30 <br />Alarnance County <br />Chatham County <br />Durham County 1 10 15 <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 />2 <br />3 <br />4 <br />18 <br />27 <br />4 <br />20 <br />30 <br />Alarnance County <br />Chatham County <br />Durham County 1 10 15 <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 />2 <br />2 <br />3 <br />4 <br />20 <br />30 <br />1 <br />4 <br />6 <br />0 <br />20 <br />0 <br />Alarnance County <br />Chatham County <br />Durham County 1 10 15 <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 4 20 30 <br />PROGRAM INFORMATION 1/23/2018 11:18:32 AM Page 25 of 30 <br />2 <br />2 <br />3 <br />1 <br />4 <br />6 <br />2 <br />3 <br />2 <br />3 <br />Total 4 20 30 <br />PROGRAM INFORMATION 1/23/2018 11:18:32 AM Page 25 of 30 <br />