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Exhibit A- continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> b.) Program Budget Detail <br /> What is the cost to deliver your project/program? List each project/program element in the table below, <br /> including the cost of each element, the quantity and unit of measure, and the subtotal for each element. <br /> Where necessary, allocate costs to the use of shared space, vehicles or equipment. <br /> Example Program: Credit Counseling Class <br /> C Quantity/Unit 6 1 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 requesting funds. <br /> Attach additional rows/pages, as needed. <br /> Program: The Arc of the Triangle Volunteer and Social Programs <br /> Cpst Elements. =p C S 0 Quariti' 1lwlffit of measure Subtotal $.LL. <br /> Salary $49,565. ear 4130.00 per month <br /> Rent and Utilities $2750.month --$2750,00 per month <br /> Supplies $2800. ear $233.00 per month <br /> Total $7113.00 per month <br /> c.) Cost per Unit <br /> _ Actualrfl145 estimated 201.5-16 !?rajected 2©16 17=T <br /> Total Cost of Program $56,272. $58,100. $60,050. <br /> Total # of Units <br /> Cost Per Unit <br /> This Cost Per Unit must reflect the total program budget and the total number of <br /> program beneficiaries (households or persons) in this application and must be <br /> consistent with report submittals from previous years (if applicable). <br /> Main Application 5/25/2016 10:10:25 AM Page 2 1 of 2 <br />