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DocuSign Envelope ID:A65EF081-BF54-47AC-9969-94226D3FBC7E t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> b.) Program Budget Detail <br /> What is the cost to deliver your project/program? List each project/program element in the table <br /> below, including the cost of each element, the quantity and unit of measure, and the subtotal for <br /> each element. Where necessary, allocate costs to the use of shared space, vehicles or <br /> equipment. <br /> Example Program: Credit Counseling Class <br /> Cost Elements Cost ($) Quantity/Unit of Measure Subtotal ($) <br /> Credit Counseling Teacher—in 96 hours (8 hrs/mth x 12 <br /> class $25 months) $2,400 <br /> Credit Counseling Teacher— <br /> class rep $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 $3,000 <br /> reports <br /> Total $9,000 <br /> Complete the table below for the project/proaram for which you are reauestina funds. Attach <br /> additional rows/paaes, as needed. <br /> Program: A Brush with Kindness <br /> Cost Elements Cost ($) Quantity/Unit of measure Subtotal ($) <br /> Compensation $1,160,369 Total from agency budget x 8.6% $100,044 <br /> Rent and utilities $86,692 Total from agency budget x 8.6% $7,474 <br /> Supplies and equipment $92,718 Total from agency budget x 8.6% $7,994 <br /> Travel and training $30,396 Total from agency budget x 8.6% $2,621 <br /> Cost of construction $1,556 Average cost per project x 18 $28,000 <br /> Total $146,133 <br /> C.) Cost per Unit <br /> Actual 2014-15 Estimated 2015-16 Projected 2016-17 <br /> Total Cost of Program $139,687 $141,795 $146,133 <br /> Total # of Units 15 17 18 <br /> Cost Per Unit $9,312 $8,341 $8,119 <br /> This Cost Per Unit must reflect the total program budget and the total number of program <br /> beneficiaries (households or persons) in this application and must be consistent with report <br /> submittals from previous years (if applicable). <br /> Main Application 1/25/201 6 1 2:11 :11 PM I5 7 <br />