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DocuSign Envelope ID: CB0C1343-06EB-4BE7-9AF6-62EE77BD69FE 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 /> • Supplies and Equipment Increase—We have depleted our supply of promotional <br /> materials (pens, lanyards, keychains) that we distribute during our events to promote <br /> Planned Parenthood. We are budgeting $600 more than last year to re-supply. <br /> • Travel and Training Increase—With the hiring of a new Educator, they will need to <br /> be trained in the program curricula. <br /> Main Application 1/21/2016 18:35:26 a1/p1 II I:' c 1 of 2 <br />