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DocuSign Envelope ID: DlA09OF6-2A4E-4FOB-9FB7-92FFFC9El3D2 XHIBIT A: <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Boomerang will be undertaking a program evaluation in 2018, including reviewing <br /> program evaluation metrics. This will build capacity both in program development and <br /> delivery. <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 /> Program Target Population Demographics-ALTERNATIVE TO SUSPENSION PROGRAM <br /> Actual Estimated Projected <br /> 2015-17 2017-18 2018-19 <br /> Gender <br /> Male 113 100 100 <br /> Female 58 50 50 <br /> Total 181 150 150 <br /> Ethnicity <br /> African-American 82 65 65 <br /> American Indian or Alaska Native 0 0 0 <br /> Asian 0 0 0 <br /> Caucasian 48 75 75 <br /> Other: specify Hispanic/Latino 37 ' <br /> Other: Not specified/Multi-Racial 14 10 10 <br /> Total 181 150 150 <br /> Of the above, how many Hispanic/Latino 37 45* 45 * <br /> Of the above, how many non-Hispanic/Latino 144 105 105 <br /> Total 181 150 150 <br /> Age <br /> Ages 10-13 46 30 30 <br /> Ages 14-16 91 100 100 <br /> Ages 17-19 44 20 20 <br /> Total 181 150 150 <br /> Geographic Location <br /> Orange County Breakdown <br /> Chapel Hill: zip codes 27514, 27516, 27517 87 85 85 <br /> Town of Carrboro: zip code 27510 17 15 15 <br /> Orange County 77 50 50 <br /> Total 181 150 150 <br /> Note: We do not have the means of determining whether students reside within Chapel Hill or Carrboro <br /> city limits, in public housing, or in unincorporated areas. <br /> PROGRAM INFORMATION Page 14 of 20 <br />