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DocuSign Envelope ID:B32F3E9F-996A-4000-8CAF-83514F2E5759 t A- continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> k.) Schedule of Positions <br /> Please include program staff positions followed by volunteer positions: these financial figures should <br /> match the personnel figures in your Agency Comparative Budget Excel Form. Similar positions can <br /> be combined. (i.e., 8 Occupational Therapists can be inserted as one line item). <br /> I <br /> If provided, <br /> 1 <br /> %Total indicate: <br /> Position Titles % Budget (R) <br /> FTE* Actual Estimated Program Projected <br /> * = Position .a.,,r",(1 <br /> * 2014-15 2015-16 2016-17 Retirement <br /> Vacant Staff+ on `201:) I Plan <br /> ,2016 (H) Health <br /> Plan <br /> $2,000 health <br /> Executive Director 1.00 50% $41,450 $43,574 $44,941 9,4% stipend <br /> 1 1 1 <br /> Program Director 1.00 100% $30,667 $31,465 $32,409 6.8% -- 1 <br /> Community 1 $4,508 <br /> Outreach (hired <br /> Coordinator .50 25% 2/2015 $14,616 $15,054 3.2% -- <br /> 1 <br /> Project Specialist :25 25% ' $8,436 $9,744 $10,036 2.1% -- <br /> 1 1 <br /> PD Assistant ,50 100% $0 $0 ' $14,616 1 N/A 1 -- 1 <br /> 7 Interns .12 75% $0 $0 $0 0 -- <br /> 12 Team Leaders .03 1 100% $0 $0 $0 0 -- <br /> Operations <br /> Manager .11 100% 1 $0 $0 $0 0 1 -- <br /> 2 Volunteer Event 1 1 <br /> Coordinators .03 1 25% $0 $0 $0 0 -- <br /> _.. <br /> 2 Graphic <br /> Designers .03 25% $0 $0 $0 0 -- <br /> 80 Weekly Shift I <br /> Volunteers .04 100% $0 $0 $0 0 1 -- <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 /> • + Denotes the percentage of staff time involved with this program. <br /> • Calculate a Full Time Equivalent for all recorded volunteer hours using the following: <br /> Total Volunteer Hours = Volunteer FTE <br /> 1,960 <br /> Main Application 1/25/2016 11:34:49 AM P r-1 j (J 9 o 1 2 1 <br />