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DocuSign Envelope ID: D3ADCOFO-56OB-45AA-A3EA-B65E3A3AO6DE XHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <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 /> For the table below, there is a difference in numbers depending on the information requested. All of these <br /> questions are asked of our target population when they sign up their child to receive our services. Due to <br /> language barriers and other circumstances, not all participants answered every question, which accounts for <br /> the different numbers below. <br /> Program Target Population Demographics <br /> Actual Estimated Projected <br /> 2015-16 2016-17 2017-18 <br /> Gender <br /> Male 242 275 315 <br /> Female 254 275 315 <br /> Total 496 550 630 <br /> Ethnicity <br /> African-American 195 215 244 <br /> American Indian or Alaska Native 0 0 1 <br /> Asian 105 135 151 <br /> Caucasian 14 40 53 <br /> Native Hawaiian or other Pacific Islander 0 0 1 <br /> Other: Multiracial, Biracial, and Hispanic_ 147 160 180 <br /> Total 461 550 630 <br /> Of the above, how many Hispanic/Latino 127 130 155 <br /> Of the above, how many non-Hispanic/Latino 334 420 475 <br /> Total 461 550 630 <br /> Age <br /> 0-5 years 15 50 80 <br /> 6-18 years 485 500 550 <br /> 19-50 years 0 0 0 <br /> 51+ years 0 0 0 <br /> Total 500 550 630 <br /> Geographic Location <br /> Alamance County 0 0 1 <br /> Chatham County 0 0 1 <br /> Durham County 3 5 5 <br /> Wake County 1 2 2 <br /> Orange County Breakdown <br /> Chapel Hill Public Housing 96 103 110 <br /> Town of Chapel Hill (Non-Public Housing) 281 292 300 <br /> Town of Carrboro 133 140 171 <br /> Town of Hillsborough 1 4 15 <br /> City of Mebane(Orange County) 1 4 15 <br /> Orange County(Outside Municipalities) 0 0 10 <br /> PROGRAM INFORMATION 1/30/2017 4:15:08 PM P a g e 1 4 o f 1 9 <br /> I' <br />