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DocuSign Envelope ID: B701CF6A-1C9A-46CB-9234-56F771D80955 t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> j) 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 % Actual Projected (R) <br /> *= Position FTE** Program 2014-15 Estimated 2016-17 %Total Retirement <br /> Vacant Staff+ Wages 2015-16 Wages Budget Plan <br /> (H) Health <br /> Plan <br /> Boomerang Program <br /> Director 1.00 53,305 55,973 57,200 R, H <br /> Operations Director <br /> (Dec 2015) 1.00 0 0 36,000 52,000 <br /> Program Manager 1.00 35,287 36,961 41,600 R, H <br /> Student Coordinator <br /> (Jan 2016) 1.00 0 0 15,600 31,200 R, H <br /> Office Manager 0.50 13,087 18,100 18,100 <br /> Program Specialist 0.50 12,094 948 0 <br /> Inclusion Facilitator 0.15 2,140 0 0 <br /> Payroll Taxes& <br /> Benefits - 27,158 33,218 33,930 <br /> VOLUNTEER HOURS <br /> (MSW intern, Bonner <br /> intern,APPLES <br /> volunteers)' 0.5 <br /> Note: Position converted to FT Student Coordinator in January 2016. <br /> Main Application 5/24/2016 9:22:20 AM P a g e 11 of 2o <br />