Orange County NC Website
Browse       Search
DocuSign Envelope ID: 535BB656- 53CF- 457A- 98B2- D73B9641501D XHIBIT A <br />PROVIDER'S OUTSIDE AGENCY APPLICATION <br />h) Agency Budget <br />Is your agency currently receiving and/or requesting other (non -Human <br />Services) local (Town of Carrboro, Town of Chapel Hill, Orange County) <br />government funding? No <br />If yes, please list below: <br />Include all programs that have funding requests /awards /totals from Carrboro,. Chapel Hill and <br />Orange County governments (other than Human Services). DO NOT include federal funding <br />sources, such as CDBG and HOME. NIA <br />Program . IFY16-17 I 1= Y97 -98 I Source <br />Award Request <br />*Add rows or attach additional page, if needed. <br />ii. Submit your agency's budget. You may complete the provided template (separate <br />As 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 />Agency Budgets are required to define budget amounts for the previous program <br />year, current program year, and next program year for the following categories: <br />(See Attached Operating Budget for the Agency) <br />Revenues <br />• Private Donations <br />• Program Generated Revenue <br />• Local Government Grants <br />• Carrboro Human Services <br />• Carrboro Other <br />• Chapel Hill Human Services <br />12 of 26 <br />