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DocuSign Envelope ID: EE049453-18E5-41 DO-666D-662773AMC09 <br /> EXHIBITA: Provider's Outside Agency Application <br /> n) Target Population <br /> Complete the following tables, with numbers (not percentages) of individuals served and to <br /> be served, to the best of your ability, <br /> Program Target Population Demographics <br /> Actual Estimated Projected <br /> 2016-17 2017-18 2018-19 <br /> Gender <br /> Male 4 11 10 <br /> Female 1 9 10 <br /> Total 5 20 20 <br /> Ethnicity <br /> African-American 3 7 7 <br /> American Indian or Alaska Native <br /> Asian 1 6 6 <br /> Caucasian <br /> Native Hawaiian or other Pacific Islander <br /> Other: specify_Latino/a 1 7 7 <br /> Total 5 20 20 <br /> 7 <br /> Of the above, how many Hispanic/Latino 1 7 <br /> Of the above, how many non-Hispanic/Latino 4 13 <br /> 13 <br /> Total 5 20 20 <br /> Age <br /> 0-5 years <br /> 6-18 years 5 20 20 <br /> 19-50 years <br /> 51+ years <br /> Total 5 20 20 <br /> Geographic Location <br /> Alamance County <br /> Chatham County <br /> Durham County 0 0 6 <br /> Wake County 1 1 4 <br /> Orange County Breakdown <br /> Chapel Hill Public Housing <br /> Town of Chapel Hill (Non-Public Housing) 4 10 5 <br /> Town of Carrboro 0 6 5 <br /> Town of Hillsborough <br /> City of Mebane (Orange County) <br /> Orange County (Outside Municipalities) 3 <br /> Total 5 20 20 <br /> PROGRAM INFORMATION 1/23/2018 1:34:47 PM Page 19 of 26 <br />