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Total 380 315 380 325 <br />Of the above, how many Hispanic, Latino or <br />Spanish origin 50 27 50 <br />45 <br />Of the above, how many non-Hispanic, Latino <br />or Spanish origin 330 288 330 <br />280 <br />Total 380 315 380 325 <br />Age <br />0-5 years <br />6-18 years 300 200 300 275 <br />19-50 years 70 115 70 45 <br />51+ years 10 10 5 <br />Total 380 315 380 325 <br />Geographic Location <br />Town of Chapel Hill 220 309 220 190 <br />Town of Carrboro 70 3 70 60 <br />Orange County ( Outside of Chapel <br />Hill/Carrboro)90 3 90 <br />75 <br />Outside of Orange County <br />Total 380 315 380 325 <br />Income <br />Low-income (80% of the Area Median Income <br />and Below) Please see income table in the <br />attachments <br />Total 0 0 0 0 <br />9. 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 <br />2020-2021 <br />Projected <br />2021-2022 <br />Projected <br />2022-2023 <br />Total Cost of Program $41,202 $39,500 $39,500 <br />Total # of Individuals 315 380 325 <br />Cost Per Individual $130.80 $103.95 $121.54 <br />10. Performance Indicators <br />For Chapel Hill and Carrboro applicants: <br />Please complete the following chart with information about the Strategic Objective, <br />Intermediate Result, and the Agency Performance Indicator for each program for which you <br />are applying for funding. Please see the Results Framework in the Attachments section as <br />a reference. <br />Program informationPage 7 of 10 <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATIONDocuSign Envelope ID: 70AC09D8-3205-4A8F-BDE0-893B802CD27D