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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 /> g.) Agency Operating Budget <br /> Please show all sources and amounts of funding for your entire current fiscal year. What is your <br /> agency's fiscal year? Example: July 1, 2016 through June 30, 2017. Submit operating budget <br /> in your own format. <br /> Do not include funds that have been applied for but not yet awarded: If the total revenue is <br /> not the same amount as the budget for any fiscal year, please attach a statement explaining the <br /> deficit or surplus. <br /> It is required that your Excel budget worksheet be embedded on the next page. You <br /> must also submit an electronic copy of the MS Excel file with your application, as a <br /> separate file. <br /> Main Application 5/25/2016 9:07:15 AM P g , 31 of 33 <br />