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DocuSign Envelope ID:3457204A-7765-4E36-8B42-227F6F673AF6 XHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> 2. Youth Artists Exhibitions <br /> Additional Program Information <br /> 1) 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 /> 2015-16 2016-17 2017-18 <br /> Gender <br /> Male 5 15 25 <br /> Female 30 42 45 <br /> Transgender 3 6 10 <br /> Total 38 63 80 <br /> Ethnicity <br /> African-American 9 16 18 <br /> American Indian or Alaska Native 0 1 3 <br /> Asian 10 13 18 <br /> Caucasian 12 23 26 <br /> Native Hawaiian or other Pacific Islander 0 0 0 <br /> Other: specify 7 10 15 <br /> Total 38 63 80 <br /> Of the above, how many Hispanic/Latino 7 10 15 <br /> Of the above, how many non-Hispanic/Latino 31 53 65 <br /> Total 38 63 80 <br /> Age <br /> 0-5 years 0 0 0 <br /> 6-18 years 37 62 79 <br /> 19-50 years 1 1 1 <br /> 51+ years 0 0 0 <br /> Total 38 63 80 <br /> Geographic Location <br /> Alamance County 1 1 1 <br /> Chatham County 2 2 3 <br /> Durham County 1 1 2 <br /> Wake County 0 0 0 <br /> Orange County Breakdown <br /> Chapel Hill Public Housing 0 2 2 <br /> Town of Chapel Hill (Non-Public Housing) 15 26 30 <br /> Town of Carrboro 12 20 25 <br /> Town of Hillsborough 2 1 1 <br /> City of Mebane (Orange County) 0 1 1 <br /> Orange County(Outside Municipalities) 5 9 15 <br /> Total 38 63 80 <br /> DO NOT SUBMIT THIS PAGE 1/31/2017 12:37:26 PM Page 24 of 45 <br />