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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 /> 4. FINANCIAL INFORMATION FOR SERVICE PROGRAMS <br /> a.) Program Budget <br /> Please complete a Program Budget Excel Form for each requested program. The <br /> Program Budget should reflect only figures and amounts associated with the Program(s) for <br /> which you are seeking funding and not the total agency budget. <br /> If the program's finances experienced significant changes that you would like to explain, <br /> please use the space below. <br /> It is required that your Excel budget worksheet be embedded on the next page. You must <br /> also submit an electronic copy of the MS Excel file with your application, as a separate file. <br /> Please note: OCHM experienced in F2015-16, and expects to experience in 2016-17, a <br /> significant decrease in funding from the town of Hillsborough. 2015-2016 funding was <br /> decreased by 38%. We estimate OCHM's FY16-17 grant funding by the town will be at a <br /> level similar to that of the FY15-16 grant award received by the museum. <br /> Main Application 5/25/2016 9:07:15 AM 0 I:°' 3 21 of 33 <br />