Orange County NC Website
I <br />7. Target Population: Please complete the table below with numbers (not percentages) of individuals served <br />and projected to be served. <br />Program Target Population Demographics <br />Gender <br />Race and Ethnicity <br />Age <br />Geographic Location <br />Men <br />Women <br />Nonbinary/Genderqueer <br />Self-Describe <br />Total <br />Black or African-American <br />American Indian or Alaska Native <br />Asian <br />White <br />Native Hawaiian or other Pacific Islander <br />Two or more races <br />Some other race <br />Total <br />Of the above, how many Hispanic/Latina <br />Of the above, how many non-Hispanic/Latina <br />Total <br />0-5 years <br />6-18 years <br />19-50 years <br />51+ years <br />Total <br />Town of Chapel Hill <br />Town of Carrboro <br />Orange County (Outside of Chapel Hill/Carrboro) <br />Outside of Orange County <br />Total <br />Income <br />low-income (80% of the Area Median Income and Below) Please see <br />income table in the attachments <br />Total <br />Low-income (30% of the Area Median Income and Below) <br />Program information <br />Projected <br />2018-19 <br />76 <br />41 <br />0 <br />0 <br />117 <br />19 <br />1 <br />2 <br />91 <br />0 <br />4 <br />117 <br />4 <br />113 <br />117 <br />0 <br />0 <br />61 <br />56 <br />117 <br />57 <br />41 <br />14 <br />5 <br />117 <br />116 <br />ih16 11' <br />112 <br />Actual <br />2018-19 <br />80 <br />37 <br />0 <br />0 <br />117 <br />22 <br />0 <br />2 <br />87 <br />0 <br />1 <br />5 <br />117 <br />4 <br />113 <br />117 <br />0 <br />0 <br />53 <br />64 <br />117 <br />37 <br />42 <br />26 <br />12 <br />117 <br />117 <br />1117 11" <br />112 <br />Projected Projected <br />2019-20 2020-21 <br />80 80 <br />37 37 <br />0 0 <br />0 0 <br />117 117 <br />22 22 <br />0 0 <br />2 2 <br />87 87 <br />0 0 <br />1 1 <br />5 5 <br />117 117 <br />4 4 <br />113 113 <br />117 117 <br />0 0 <br />0 0 <br />53 53 <br />64 64 <br />117 117 <br />37 37 <br />42 42 <br />26 26 <br />12 12 <br />117 117 <br />117 117 <br />1117 117 1117 117 1 <br />112 112 <br />Page 11 of 35 <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />DocuSign Envelope ID: D48DD7FB-D87E-4B89-8F49-216C48CF34E2