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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 /> 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 /> 2014-15 was a transitional year for us. After strategic planning sessions, the decision was <br /> made to concentrate on opening and beginning a program in Chapel Hill. With funds <br /> already in the bank from past fund raising efforts which gave us a cushion, there was not <br /> another scaled effort to approach donors again that year. We focused on getting our <br /> programs up and running at the Northside Elementary School in Chapel Hill. We believed <br /> that we would have successful measurable outcomes to report along with many stories <br /> about the positive impact of the Boys & Girls Club program on Club members and that we <br /> would then be in a more favorable position to raise funds in the future to make the now- <br /> existing Program sustainable. <br /> We began the Community Impact Program at the Northside School in January, 2015 with <br /> 17 youth enrolled and operated it until school ended in June, 2015. We had only one <br /> classroom to use and we still managed to have an impact on an array of students from <br /> grades K-5. <br /> Beginning with the fiscal year 2015-16, we have begun fundraising efforts on a full scale as <br /> we have the program established with continued support from not only the Chapel Hill- <br /> Carrboro Schools Administration but also the staff and faculty at the Northside Elementary <br /> School. <br /> Discussions have already been held with the Principal of the Northside School as well as <br /> with Todd LoFrese, Assistant Superintendent, regarding expansion for the next fiscal year <br /> and for a summer program in 2016. The partnership with the schools is strong. <br /> Main Application 5/24/2016 8:59:25 a5/p5 0:' a g 17 o t 23 <br />