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DocuSign Envelope ID:2164F437-BF9D-46A1-B13B-7740B02003DA 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 % (R) <br /> *= Position FTE* Program Actual Estimated Projected %Total Retirement <br /> Vacant Staff+ 2014-15 2015-16 2016-17 Budget Plan <br /> (H) Health <br /> Plan <br /> Chief Professional $26,000.0 <br /> officer 1 50.00% $24,500.00 $25,000.00 0 20.00% <br /> $33,000.0 <br /> Program Director 1 92.00% $0.00 $29,000.00 0 26.00% H <br /> 2-3 Program $26,441.0 <br /> Assistants ..25 100.00% $3,757.00 $12,000.00 0 21.00% <br /> Total Volunteer <br /> hours 1920 <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 /> 1,960 <br /> Main Application 5/24/2016 8:59:25 a5/p5 P 14 o of 23 <br />