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DocuSign Envelope ID: ED6C5D54-7108-4169-9541-C2FDA3EC8CA6 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 % Projecte (R) <br /> *= Position FTE** Program Actual Estimated d 2016- %Total Retirement <br /> Vacant Staff+ 2014-15 2015-16 17 Budget Plan <br /> (H) Health <br /> Plan <br /> Operating Officer .5 50 1500 1500 12000 40 N/A <br /> Finance Officer .3 15 500 500 4000 13.33 N/A <br /> Technology Officer .3 15 500 500 4000 13.33 N/A <br /> Administration .3 15 500 500 4000 13.33 N/A <br /> Events Coordinator .05 5 volunteer volunteer volunteer 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 /> 1960 <br /> Main Application 5/25/2016 9:25:11 AM P , 12 of 2 <br />