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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 /> b.) Program Budget Detail <br /> Complete the table below for the project/program for which you are requesting funds. <br /> Attach additional rows/pages, as needed. <br /> Program: Boomerang <br /> Cost Elements Cost($) Quantity/Unit of measure Subtotal ($) <br /> Contract: Dispute Settlement Center 50 30 hours (1hr/wk x 30wks) 1,500 <br /> Contract: OCRCC/Compass Center 50 30 hours (1 hr/wk x 30wks) 1,500 <br /> Contract: UNC Substance Abuse Clinic 175 16 hours (1 hr/wk x 16 wks) 2,800 <br /> Contract: NOAH IT Services 85 12 months 1,020 <br /> Food for Students 15 180 days 2,700 <br /> Total 9,520 <br /> b.) Cost per Unit <br /> Actual 2014-15 Estimated 2015-16 Projected 2016-17 <br /> Total Cost of Program 184,904 243,867 285,087 <br /> Total # of Units* 618 951 1026 <br /> Cost Per Unit 299 256 278 <br /> *Unit of Service is defined as follows: <br /> 1 student referral with 2-4 day suspension(ATS;including 2-day court-involved)=1 unit of service <br /> 1 student referral with 5-7 day suspension(ATS)=2 units of service <br /> 1 student referral with 8-10+day suspension(ATS)=3 units of service <br /> 1 student instance(students completing at least 5 community service hours)(CS)=1 unit of service <br /> 1 student referral receiving intensive follow-up services=3 units of service <br /> 1 student instance attending at least 1 What's Next group=1 unit of service <br /> As of 2015-16:1 student instance receiving tutoring/schoolwork help after school=2 units of service <br /> 1 student attending Open Doors=0.5 unit of service <br /> 2014-15 Program Component Units Served <br /> ATS 2-4 days 83 <br /> ATS 5-7 days 86 <br /> ATS 8+days 51 <br /> Community Service(instances) 192 <br /> What's Next?(instances) 56 <br /> Intensive Follow Up 45 <br /> After School Open Doors 105 <br /> TOTAL 618 <br /> Attendance/participation in Boomerang programs was lower in 2014-15 while it was temporarily located in <br /> the Meadowmont neighborhood of Chapel Hill; school districts, students and families stated that <br /> transportation to and from Meadowmont was a problem. <br /> Main Application 5/24/2016 9:22:20 AM O:' a g e 1 "'' of 2 I <br />