Orange County NC Website
Browse       Search
DocuSign Envelope ID: A899BEK- BAEC- 40F3 -91 E1- A9D77FC4C488 <br />Additional Program XHoBI TA: PROVIDER'S OUTSIDE AGENCY APPLICATION <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 />Gender <br />Male <br />Female <br />UnknownlUnreported <br />Total <br />Ethnicity <br />African - American <br />American Indian or Alaska Native <br />Asian <br />Caucasian <br />Native Hawaiian or other Pacific Islander <br />Other: specify Hispanic, Burmese, unknown <br />Total <br />Of the above, how many Hispanic/Latino <br />Of the above, how many non-Hispanic/Latino <br />Total <br />Age <br />0 -5 years <br />6 -18 years <br />19 -50 years <br />51+ years <br />Total <br />Geographic Location <br />Actual Estimated Projected <br />2016 -17 2017 -1$ 2018 -19 <br />403 <br />500 <br />600 <br />823 <br />850 <br />900 <br />311 <br />1350 <br />1500 <br />1537 <br />1350 <br />1500 <br />24 <br />25 <br />25 <br />459 <br />200 <br />300 <br />1537 <br />1350 <br />1500 <br />29 <br />30 <br />30 <br />0 <br />0 <br />0 <br />1484 <br />1295 <br />1445 <br />1537 <br />1350 <br />1500 <br />1078 <br />1150 <br />11200 <br />459 <br />200 <br />300 <br />1537 <br />1350 <br />1500 <br />nla <br />nla <br />575 <br />625 <br />nla <br />600 <br />675 <br />nla <br />15 <br />20 <br />0 <br />0 <br />0 <br />Alamance County <br />Chatham County <br />Durham County <br />Wake County <br />Unknown /unreported <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 <br />3 <br />2 <br />174 <br />5 <br />181 <br />PROGRAM INFORMATION 1/22/2018 10:14:21 AM Page 1 4 of '_s <br />515 <br />575 <br />625 <br />534 <br />600 <br />675 <br />13 <br />15 <br />20 <br />6 <br />10 <br />15 <br />104 <br />150 <br />165 <br />1537 <br />1350 <br />1500 <br />PROGRAM INFORMATION 1/22/2018 10:14:21 AM Page 1 4 of '_s <br />