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DocuSign Envelope ID: 1007B77C-A009-4AA3-964B-3B03B9585341 <br /> txnibit A-continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> k.) Schedule of Positions <br /> Please include program staff positions followed by volunteer positions; these financial figures <br /> should match the personnel figures in your Agency Comparative Budget Excel Form. Similar <br /> positions can be combined. (i.e., 8 Occupational Therapists can be inserted as one line item). <br /> If provided, <br /> indicate: <br /> Position Titles % (R) <br /> *= Position FTE* Program Actual Estimated Projected %Total Retirement <br /> Vacant Staff+ 2014-15 2015-16 2016-17 Budget Plan <br /> (H) Health <br /> Plan <br /> Executive Director 1 $50k $65k $70k 6% No <br /> Program Insurance <br /> Coordinator 2 $35k $67k $70k 6% Stipend <br /> Insurance <br /> Event Manager 1 $31k $40k $45k 4.5% Stipend <br /> Administrative Insurance <br /> Assistant 1 P.T$18k F.T$30k $32k 3.2% Stipend <br /> Insurance <br /> Accountant .2 $15k $20k $22k 2.2% Stipend <br /> Insurance <br /> Grant Writer .3 $12k $18k $20k 2% Stipend <br /> Insurance <br /> Assistant Director 1 $40k $42k 4.2% Stipend <br /> Volunteers 4.3 8065 8100 8500 <br /> Notes: <br /> • Similar positions can be combined: i.e. 8 Occupational Therapists can be inserted as one line item. <br /> • ** Full Time Equivalent staff will be noted as 1.00; half time as .50; quarter time as .25, etc. <br /> • + Denotes the percentage of staff time involved with this program. <br /> • Calculate a Full Time Equivalent for all recorded volunteer hours using the following: <br /> Total Volunteer Hours = Volunteer FTE <br /> 1,960 <br /> Main Application 5/24/2016 9:03:13 AM P 1 4 of 2 <br />