Orange County NC Website
Browse       Search
DocuSign Envelope ID:87560079-2786-4376-A189-DC48D9482BE7 • <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Exchange Club Center for the Prevention of Child Abuse of North Carolina, Inc. are working <br /> to transition the center once again to a stand-alone center status. The transition will be <br /> complete in the 2017-2018 contract year. Currently the center is still under the umbrella of 1. <br /> the Exchange Club Center for the Prevention of Child Abuse of North Carolina, Inc. <br /> f) Schedule of Positions (For Entire Agency) <br /> • Full Time Equivalent(FTE)staff will be noted as 1.00; half time as .50;quarter time as .25, etc. <br /> • Calculate a Full Time Lquivalent for all recorded volunteer hours using the following: <br /> Total Volunteer Hours =Volunteer FTE <br /> 2,080 <br /> # of FTE- Full-Time Paid Positions; 8 <br /> # of FTE- Paid Part-Time Positions: 2 <br /> # of Volunteers: 13 #of FTE -Volunteers:0 <br /> g) Living Wage <br /> Does this agency pay permanent employees a minimum living wage? (Yes/No) Yes <br /> If yes, is this agency an Orange County Living Wage Certified Employer? No <br /> If no, please explain. <br /> The agency hasn't been through the certification process but is planning on in the next <br /> contract year if applicable. <br /> h) Agency Budget <br /> i. Is your agency currently receiving and/or requesting other(non-Human Services) <br /> local (Town of Carrboro, Town of Chapel Hill, Orange County) government <br /> funding? (Yes/No) No <br /> If yes, please list below: <br /> Include all programs that have funding requests/awards/totals from Carrboro, Chapel Hill, <br /> and Orange County governments (other than Human Services). DO NOT include federal <br /> funding sources, such as CDBG and HOME <br /> Program FY16-17 FY'17-18 -.Source <br /> Award Request <br /> EX: Affor able Rental 0 $20,000.. .Carrboro-Affordable Housing <br /> Rehabilitation <br /> EX:Agericy Administratiori ': $15,000 $15,000 ..Carrboro-Other <br /> • <br /> Ex.Total ,. $15,000' $33;000 ,Carrboro Total Funding <br /> *Add rows or attach additional page, if needed. <br /> Submit your agency's budget. You may complete the provided template (separate <br /> xIs file) or you may submit your own budget file (as long as it contains the same <br /> information, and in a similar format, as requested in the provided template). <br /> Does your agency budget show a Surplus or Deficit? Deficit <br /> Is there a significant change?Yes/No No <br /> Deficit is predicated on total expenditures of flex funds for treatment program for families <br /> served. Not all families use the funds so the deficit will likely not occur. <br /> iv. What is your agency's fiscal year? July 1, 2016 through June 30, 2017 <br /> Agency Information 1/27/2017 1:48:20 PM Page 5 of 12 <br />