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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 /> c.) 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 /> Cost Elements Cost($) Quantity/Unit of Measure Subtotal ($) <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 $9,000 <br /> Complete the table below for the project/program for which you are requesting funds. <br /> Attach additional rows/pages, as needed. <br /> Program: Heritage education <br /> Cost Elements Cost($) Quantity/Unit of measure Subtotal( ) <br /> Compensation $20.44 265 hours (8 hrs per x 33) $5423.00 <br /> Supplies/materials tbd tbd: in-class supplies; computer $660.00 <br /> software <br /> Travel and training .54 Mileage .54/mile x 348 $188.00 <br /> Total $6271.00 <br /> d.) Cost per Unit <br /> Actual 2014-15 Estimated 2015-16 Projected 2016-17 <br /> Total Cost of Program $4799 $5607 $6271 <br /> Total # of Units 2590 2500 2500 <br /> Cost Per Unit $1.92 $2.24 $2.51 <br /> Main Application 5/25/2016 9:07:15 AM P , 2 of <br />