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PROGRAM INFORMATION2/9/2017 4:13:51 PM Page 16 of 22 <br />Additional Program Information <br />l)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 PopulationDemographics <br />Actual <br />2015-16 <br />Estimated <br />2016-17 <br />Projected <br />2017-18 <br />Gender <br />Male41110 <br />Female1910 <br />Total 52020 <br />Ethnicity <br />African-American377 <br />American Indian or Alaska Native <br />Asian166 <br />Caucasian <br />Native Hawaiian or other Pacific Islander <br /> Other: specify ___Latino____177 <br />Total 52020 <br />Of the above, how many Hispanic/Latino177 <br />Of the above, how many non-Hispanic/Latino41313 <br />Total 52020 <br />Age <br />0-5 years <br />6-18 years <br />19-50 years52020 <br />51+ years <br />Total 52020 <br />Geographic Location <br />AlamanceCounty <br />Chatham County <br />Durham County <br />Wake County11 <br />Orange CountyBreakdown <br />EXHIBIT A <br />PROVIDER'S OUTSIDE AGENCY APPLICATION <br />DocuSign Envelope ID: 0D59222E-5A4E-4094-9D22-7F342E2FD1A3