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<br />Program information Page 13 of 33 <br />Women 478 915 644 915 <br />Nonbinary/Genderqueer 0 0 0 0 <br />Self-Describe 0 0 0 0 <br />Total 896 1751 1148 1751 <br />Race and Ethnicity <br />Black or African-American 0 0 0 0 <br />American Indian or Alaska Native 0 0 0 0 <br />Asian Indian 0 0 0 0 <br />White 0 0 0 0 <br />Native Hawaiian or other Pacific Islander 0 0 0 <br />Chinese <br />Japanese <br />Vietnamese <br />Filipino <br />Korean <br /> From Burma (aka Myanmar) 896 1751 1148 1751 <br />Total 896 1751 1148 1751 <br /> <br /> <br /> <br />Of the above, how many Hispanic, Latino or Spanish origin 0 0 0 0 <br />Of the above, how many non-Hispanic, Latino or Spanish origin 896 1751 1148 1751 <br />Total 896 1751 1148 1751 <br />Age <br /> <br /> <br />0-5 years 85 31 158 31 <br />6-18 years 333 461 389 461 <br />19-50 years 401 922 511 922 <br />51+ years 77 338 90 338 <br />Total 896 1751 1148 1751 <br />Geographic Location <br /> <br /> <br />Town of Chapel Hill 533 1237 697 1237 <br />Town of Carrboro 268 293 325 293 <br />Orange County ( Outside of Chapel Hill/Carrboro) 66 87 88 87 <br />Outside of Orange County 29 134 38 134 <br />Total 896 1751 1148 1751 <br />Income <br />Low-income (80% of the Area Median Income and Below) Please see <br />income table in the attachments 100% 100% <br />100% 100% <br /> <br />Total 896 1751 1148 1751 <br /> <br /> <br />Healthy Food Access Program <br />9. Cost Per Individual <br /> <br />This cost per individual must reflect the total program budget divided by the total number of <br />program individuals in this application. <br /> <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />DocuSign Envelope ID: F38AEFE6-1D08-4C4C-8C40-AA9F3F782631