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h) Agency Budget <br />i) Is your agency currently receiving and /or requesting other (non -Human Services) local <br />(Town of Carrboro, Town of Chapel Hill, Orange County) government funding? (Yes /No) 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. <br />Program <br />FY16 -17 <br />Award <br />FY17 -18 <br />Request <br />Source <br />Ex: Affordable Rental <br />Rehabilitation <br />0 <br />$20,000 <br />Carrboro - Affordable Housing <br />Ex: Agency Administration <br />$15,000 <br />$15,000 <br />Carrboro — Other <br />Ex. Total <br />$15,000 <br />$35,000 <br />Carrboro Total Funding <br />*Add rows or attach additional page, if needed. <br />i. 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 />• Revenues <br />o Private Donations <br />o Program Generated Revenue <br />i) Local Government Grants <br />• Carrboro Human Services <br />• Carrboro Other <br />1/12/2017 2 :56 :42 PM 9 Of 29 <br />