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DocuSign Envelope ID:78 e-B256-33o571Ae4687 [ /\- 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 should <br /> match the personnel figures in your Agency Comparative Budget Excel Form. Similar positions can <br /> be combined. (i.e., 8 Occupational Therapists can be inserted as one line item). <br /> ---- <br /> If provided, <br /> indicate: <br /> � ��Toto <br /> Position Titles 96 Total (R) <br /> Actual Estimated Projected Program <br /> ^ = Position FTE** Program ' Retirement <br /> 2014'15 2015-15 2016'17 Budget <br /> Vacant Staff+ <br /> (2016) P|an <br /> (H) Health <br /> � | <br /> Plan <br /> ' -- ` -------�- <br /> Prog. oV1�z.ornE <br /> (MSW,- Rec.Therapy, 2015:3.4,VE 1 <br /> Art Tkemp .otc.) 2016:41ns 100% 80000 112000 153000 30% (R)(H) <br /> 2014:2.1FTE <br /> on1n2.ma <br /> Pros. Facilitato z01�x�,TE 100Y4 40000 52000 83000 15% (R H <br /> Cook/Food Srv. 0.0FTE 100% 1 27000 27750 28000 5% (R)(H) <br /> I <br /> Prow. Admin8NSVV 1FTE 10096 ! 0 50000 55000 10% (R)(H) <br /> Assoc. Director 1FTE 25% 24330 21200 16000 3% R H <br /> Exec. Director 1FTE 20% 27260 22300 23500 4.396 <br /> __ <br /> Admin. Ams't 1FTE 75% 25500 0 0 0 <br /> Volunteers 1.5FTE 1 <br /> MI <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 1/75/2016 3:11:08 PM P a g e 11 of 2 1 <br />