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DocuSign Envelope ID: EB541A3B-1E01-49AB-9E09-7987ECAEC1C4 t 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 $9,000 <br /> Complete the table below for the project/program for which you are requesting funds. <br /> Attach additional rows/pages, as needed. <br /> Program: Back to School Bash <br /> Cost Elements Cost($) Quantity/Unit of measure Subtotal (! - <br /> Back Packs $5.00 1=$5.00 (5x 400) $2,000 _ <br /> Supplies $5.00 1=set(5x400) $2,000 _ <br /> Food $8.00 1 meal= $8.00 (800x$8.00) $6,400 <br /> Orchestration $400.00 1=$400.00 (3x400) $1200 <br /> Total $11,600 <br /> b) Cost per Unit <br /> Actual 2014-15 Estimated 2015-16 Projected 2016-17 <br /> Total Cost of Program $11,000 $11,600 $12,000 <br /> Total # of Units $400.00 $400.00 $400.00 <br /> Cost Per Unit $10.00 $10.00 $10.00 <br /> Program: Garden <br /> Cost Elements Cost($) Quantity/Unit of measure Subtotal($) <br /> Supplies(seeds, tools and soil) $1000 $1000 <br /> Storage building w/accessories $500.00 Storage building w/accessories $500.00 <br /> Main Application1/25/2016P age 27 of S2 <br />