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DocuSign Envelope ID:FO3CBAC2-B7E2-4CDB-AFA6-CB52A071BA00 t A- continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> 115% AMI $54,266 $62,028 $69,791 [$77,481 $83,734 $89,916 $96,097 $102,278 <br /> http://www.huduser.org/portal/datasetsiilii115/FY2015 IL nc.pdf <br /> Ii.) Schedqie of Posit/4,ns <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 /> ' , <br /> : ---1 <br /> , 1 it provided, <br /> indicate: <br /> Position Titles % (R) <br /> FTE* Actual Estimated Projected % Total <br /> * = Position . Program Retirement <br /> 2014-15 2015-16 2016-17 Budget <br /> Vacant Staff+ Plan <br /> (H) Health <br /> Plan <br /> 32% , <br /> Executive D1rector 50 50% 27 000 25.250 217,000, <br /> 1 1 ' <br /> . i <br /> Docent/Support 40 40% 9,450 2,800 9,450 11% <br /> Volunteer ,25 10% 0 0 0 0% <br /> 1 i 1 J I <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 /> O + Denotes the percentage of staff t1rnernvorved w h Mos program <br /> • Catc,o,terte a Fa Tume EqunvaNent for a6 recorded vNuntee rtdars usMrg the fohoroAng <br /> Total Volunteer Hours =Volunteer FTE <br /> 1,960 <br /> Main Application 1/25/2016 1:26:31 PM <br />