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DocuSign Envelope ID: B55679E1-82FB-4A06-BBCF-6BC218E4CADA t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> Program Budget Detail <br /> What is the cost to deliver your project/program? List each project/program element in the table <br /> below, including the cost of each element, the quantity and unit of measure, and the subtotal for <br /> each element. Where necessary, allocate costs to the use of shared space, vehicles or <br /> equipment. <br /> Example Program: Credit Counseling Class <br /> Cost Elements Cost($) Quantity/Unit of Measure Subtotal ($) <br /> Credit Counseling Teacher-in class $25 96 hours(8 hrs/mth x 12 months) $2,400 <br /> Credit Counseling Teacher—class prep $25 48 hours(4hrs/mth x 12 mths) $1,200 <br /> Credit Counselor—one-on-one $20 120 hours(10 hrs/mth x12 mths $2,400 <br /> Materials $25 120 course packets/credit reports $3,000 <br /> Total $9,000 <br /> Complete the table below for the project/program for which you are <br /> requesting funds. Attach additional rows/pages, as needed. <br /> Program: Nature Day Camp <br /> I I <br /> Cost Elements Cost($) Quantity/Unit of measure Subtotal ($) <br /> Executive Director Salary 77,772 29% of salary x 77,772 $22,554 <br /> Office Coordinator Salary 31,454 56% of salary x 31,454 $17,614 <br /> Director of Education Salary 50,192 50% of salary x 50,192 $25,096 <br /> Education Coordinator Salary 42,905 32% of salary x 42,905 $13,730 <br /> Conservation Coordinator Salary 43,203 3% of salary x 43,203 $1,296 <br /> Page. 18 of 23 <br />