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DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A <br /> EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Additional Program Information <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 <br /> 2016-17 (all 2017-18 (OC <br /> Kidzu services Human Projected <br /> for Services 2018-19 <br /> underserved funded <br /> families) pprograms) <br /> Gender <br /> Male 1293 210 756 <br /> Female 1939 400 1136 <br /> Total 3232 610 1892 <br /> Ethnicity <br /> African-American 1,145 285 1,437 <br /> American Indian or Alaska Native 5 5 0 <br /> Asian 723 100 100 <br /> Caucasian 831 96 60 <br /> Native Hawaiian or other Pacific Islander <br /> Other: specify Hispanic 526 124 295 <br /> Total 3232 610 1892 <br /> Of the above, how many Hispanic/Latino 526 124 295 <br /> Of the above, how many non-Hispanic/Latino 2706 486 1597 <br /> Total 3232 610 1892 <br /> Age <br /> 0-5 years 1293 345 1000 <br /> 6-18 years 1454 150 250 <br /> 19-50 years 323 80 400 <br /> 51+ years 162 35 242 <br /> Total 3232 610 1892 <br /> Geographic Location <br /> Alamance County <br /> Chatham County <br /> Durham County <br /> Wake County <br /> Orange County Breakdown <br /> Chapel Hill Public Housing <br /> Town of Chapel Hill (Non-Public Housing) <br /> Town of Carrboro <br /> Town of Hillsborough <br /> City of Mebane (Orange County) <br />