Orange County NC Website
DocuSign Envelope ID:FO3CBAC2-B7E2-4CDB-AFA6-CB52A071BA00 t A- continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> f.) Cost per Unit <br /> Actual 2014-15 Estirnall:11 2015- <br /> 16 Projeci'A 2016-17 <br /> Total Cost of Progra,i,,,, , NA , $875.00 <br /> Total # of Units NA NA 5,000 <br /> Cost Per Unit NA NA $0.17 <br /> This Cost Per Unit must reflect the total program budget and the total number <br /> of program beneficiaries (households or persons) in this application and must <br /> be consistent with report submittals from previous years (if applicable)„ <br /> Agency Operating Budget <br /> Please show all sources and amounts of funding for your entire current fiscal year What is your <br /> agency's fiscal year? Example, July 1, 2016 through June 30, 2017. <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 /> Main Application 1/25/2016 1:26:31 PM <br />