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DocuSign Envelope ID 913F749B-B9E8-4103-AF9D-A4296D01069E 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 A Total Retirement <br /> * 2014-15 2015-16 2016-17 Budget <br /> Vacant •. Staff+ Plan <br /> (H)Health <br /> Plan <br /> Program Director 1.00 $26,000 $30,000 $35,000 33% <br /> Instructor .125 0 $2,000 $2,000 2% <br /> Volunteer <br /> Administrator 1 .25 20/week 20/week 10/week N/A <br /> Volunteer <br /> .05 2/week 2/week 2/week N/A <br /> Instructor 1 <br /> Notes: <br /> • Similar positions can be combined: i.e.8 Occupational Therapists can be inserted as one line item. <br /> O ** 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 1/25/2016 10:16:09 AM Page 11 of 20 <br />