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DocuSign Envelope ID:6BDD2794-5ECO-4DFF-B4F6-F496A1C3AB13 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 (R) <br /> *= Position <br /> FTE* program Actual Estimated Projected %Total Retirement <br /> Vacant Staff+ 2014-15 2015-16 2016-17 Budget Plan <br /> (H) Health <br /> Plan <br /> 0.15 <br /> President/CEO 1 $9,360.00 $9,360 3.7 (R) <br /> Director of 0.08 <br /> Finances 1 0 $4,160 1.6 (R) (H) <br /> Human Resources/ 0.08 <br /> Development Dir 1 $3,910.00 $3,910 1.6 (R) (H) <br /> 0.08 <br /> Grant Officer 1 $2,330.00 $2,330 0.9 (H) <br /> Administrative 0.08 <br /> Assist 1 0 $2,496 1 <br /> Comm Engagement 0.10 <br /> Director 1 $3,744.00 $3,744 1.5 (H) <br /> CEL Program 1.00 <br /> Coordinator 1 $37,440.00 $37,440 15 (H) <br /> Worker's Project 1.00 <br /> Leader 1 $33,280.00 $33,280 13 (H) <br /> Community 1.00 <br /> Organizer 1 $33,290.00 $33,280 13 (H) <br /> 1.00 <br /> AmeriCorps 1 0 $12,500 5 (H) <br /> 0.5 <br /> Volunteers/Interns 2 0 $3,000 1.2 <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 4:43:09 PM Pag , of 11 <br />