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DocuSign Envelope ID:99BDCA4A-2934-455A-8D45-0C865AD016D0 it A continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> b) Program Budget Detail <br /> What is the cost to deliver your project/program? List each project/program element in the table below, <br /> including the cost of each element, the quantity and unit of measure, and the subtotal for each element. <br /> Where necessary, allocate costs to the use of shared space, vehicles or equipment. <br /> Example Program: Credit Counseling Class <br /> Cost Elements Cost($) Quantity/Unit of Measure Subtotal($) <br /> Credit Counseling Teacher–in class $25 96 hours (8 hrs/mth x 12 months) $2,400 <br /> Credit Counseling Teacher—class prep $25 48 hours (4hrs/mth x 12 mths) $1,200 <br /> Credit Counselor—one-on-one $20 120 hours (10 hrs/mth x12 mths $2,400 <br /> Materials $25 120 course packets/credit reports $3,000 <br /> Total $9,000 <br /> Complete the table below for the project/program for which you are requesting funds. <br /> Attach additional rows/pages, as needed. <br /> Program: Community and School-Based Mentorinq <br /> Cost Elements Cost($) Quantity/Unit of measure Subtotal ($) <br /> Enrollment Specialists $20 384 hours (32 hrs/mth x 12 mos) $7,680 <br /> Match Support Specialists $20 366 hours(30.5 hrs/mth X 12 mos) $7,320 <br /> Total $15,000 <br /> b.) Cost per Unit <br /> Actual 2014-15 Estimated 2015-16 Projected 2016-17 <br /> Total Cost of Program 234,000 234,000 245,500 <br /> Total # of Units 149 141 153 <br /> Cost Per Unit 1,570 1,659 1,604 <br /> Main Application 5/24/2016 8:51:19 AM P 21 of 25 <br />