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DocuSign Envelope ID:A2DC2EF9-6C9A-438D-A97D-84CEA493644C <br /> Some other race 5 6 30 <br /> Total 553 452 490 1,1779 <br /> Of the above, how many Hispanic/Latino 141 98 210 301 <br /> Of the above, how many non-Hispanic/Latino 553 452 490 1,779 <br /> Total 694 550 700 2,080 <br /> Age <br /> 0-5 years 184 198 220 832 <br /> 6-18 years 310 117 200 416 <br /> 19-50 years 110 102 150 416 <br /> 51+ years 90 83 130 416 <br /> Total 694 550 7001 2,080 <br /> Geographic Location <br /> Town of Chapel Hill 25 280 <br /> Town of Carrboro 200 <br /> Orange County ( Outside of Chapel Hill/Carrboro) 694 525 700 1,500 <br /> Outside of Orange County 100 <br /> Total 694 550 700 2,080 <br /> Income <br /> Low-income (80% of the Area Median Income and 560 1,664 <br /> Below) Please see income table in the attachments 381 339 <br /> Total 381 339 560 1,664 <br /> 8. Cost Per Individual <br /> This cost per individual must reflect the total program budget divided by the total <br /> number of program individuals in this application. <br /> Actual 2018- Projected 2019- Projected 2020- <br /> 19 20 21 <br /> Total Cost of Program $12,992 $13,301 $22,395 <br /> Total # of Individuals 550 700 2,080 <br /> Cost Per Individual $23.62 $19 $10.76 <br /> 9. Performance Indicators <br /> Program information P a g e 12 o f 2 5 <br />