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DocuSign Envelope ID:AA509FB2-A0C3-456C-9F67-9DDC0879C15B t 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 FTE* Program Actual Estimated Projected %Total Retirement <br /> Staff+ 2014-15 2015-16 2016-17 Budget Plan <br /> (H) Health <br /> Plan <br /> Donation Station <br /> Program Manager 1 100% 34,000 40,000 43,000 9% <br /> Donation Station <br /> Intern 2 20% N/A N/A N/A N/A <br /> 95% P1 <br /> Volunteer Hours 3.25 5% P2 N/A N/A N/A N/A <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 5/25/2016 8:50:30 AM P 12 of 1 <br />