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DocuSign Envelope ID: 5BF9183D-3BD5-4FD7-80DE-F437539D2E9F 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 FTE* Program Actual Estimated Projected %Total Retirement <br /> Vacant Staff+ 2014-15 2015-16 2016-17 Budget Plan <br /> (H) Health <br /> Plan <br /> 17%(1) <br /> 17%(2) <br /> Executive Director 0.75 16%(3) $26,364 $28,275 $31,900 62% N/A <br /> Museum 90%(2) <br /> Coordinator 0.75 10%(3) $5,464 $10,545 $12,584 25% N/A <br /> Museum Interpreter 0.25 100%(2) $3385 $2927 $3003 6% N/A <br /> Volunteers <br /> Volunteers 75%(2) <br /> (HFHOC) Board 0.50 25%(3) N/A N/A N/A N/A N/A <br /> 50%(2) <br /> Volunteers (OCHM) 0.25 50%(3) N/A 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 9:07:15 AM P 16 of 33 <br />