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Program Budget <br />1. Submit your program budget. You may complete the provided template (separate As <br />file) or you may submit your own budget file (as long as it contains the same information, <br />in the same format, as requested in the provided template). <br />Program 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 />o Local Government Grants <br />• Carrboro Human Services <br />• Carrboro Other <br />• Chapel Hill Human Services <br />• Chapel Hill Other (DO NOT include CDBG funding here) <br />• Orange County Human Services <br />• Orange County Other (DO NOT Include HOME funding here) <br />o Other Government Grants <br />• Triangle United Way <br />• State Government <br />• Federal Government (CDBG /HOME /etc.) <br />• Private Foundation Grants <br />o Other Revenue <br />• Expenditures <br />o Compensation <br />o Rent & Utilities <br />o Supplies & Equipment <br />o Travel & Training <br />o Other Expenses <br />2. Program Budget Detail — Provide description of "other" budget items, not defined. <br />Survey incentives of a $5 gas card will be given to the first 50 parents that answer <br />our parent evaluation at the end of the session. We are hoping to receive more <br />parent feedback by offering these incentives. <br />3. This program budget represents what percent of the agency budget? 1.75% <br />4. COST PER INDIVIDUAL <br />This Cost per Individual must reflect the total program budget divided by the total number of program <br />individuals in this application. <br />1/12/2017 2:56:42 PM 19 Of 29 <br />Actual 2015 -16 <br />Estimated 2016-17 <br />Projected 2017 -18 <br />Total Cost of Program <br />39,489 <br />9,224 <br />11,510 <br />Total # of Individuals <br />740 <br />70 <br />283 <br />Cost Per Individual <br />53.36 <br />131.77 <br />40.67 <br />1/12/2017 2:56:42 PM 19 Of 29 <br />