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DocuSign Envelope ID:C4C09F35-022B-45DE-8313-4A1ED7AF458B XHIBIT A
<br /> PROVIDER'S OUTSIDE AGENCY APPLICATION
<br /> Additional Program Information for Youth Division Only
<br /> 1) Target Population
<br /> Complete the following tables, with numbers of individuals served and to be served.
<br /> Program Target Population Demographics
<br /> Actual Estimated Projected
<br /> 2015-16 2016-17 2017-18
<br /> Gender
<br /> Male 15,186 15,300 15,810
<br /> Female 14,591 14,700 15,190
<br /> Total 29,777 30,000 31,000
<br /> Ethnicity
<br /> African-American 7,444 7,500 7,750
<br /> American Indian or Alaska Native 60 60 62
<br /> Asian 2,382 2,400 2,480
<br /> Caucasian 15,722 15,840 16,368
<br /> Native Hawaiian or other Pacific Islander
<br /> Other: specify Latinx 4,169 4,200 4,340
<br /> Total 29,777 30,000 31,000
<br /> Of the above, how many Hispanic/Latino 4,169 4,200 4,340
<br /> Of the above, how many non-Hispanic/Latino 25,608 25,800
<br /> 26,660
<br /> Total 29,777 30,000 31,000
<br /> Age
<br /> 0-5 years 1,370 1,380 1,426
<br /> 6-18 years 28,407 28,620 29,574
<br /> 19-50 years
<br /> 51+ years
<br /> Total 29,407 30,000 31,000
<br /> Geographic Location
<br /> Outside of NC or Other NC County
<br /> Alamance County 149 150 155
<br /> Chatham County 298 300 310
<br /> Durham County 3,573 3,600 3,720
<br /> Wake County 298 300 310
<br /> Orange County Breakdown
<br /> Unk
<br /> Chapel Hill Public Housing Unknown Unknown
<br /> Town of Chapel Hill (Non-Public Housing) 17,271 17,400 17,980
<br /> Town of Carrboro 4,169 4,200 4,340
<br /> Town of Hillsborough 1,787 1,800 1,860
<br /> City of Mebane (Orange County) 149 150 155
<br /> Orange County(Outside Municipalities) 2,084 2,100 2,170
<br /> Total 29,777 30,000 31,000
<br /> PROGRAM INFORMATION 2/8/2017 5:24:23 PM Page 16 of 20
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