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n) Program Budget <br />1. Submit your program budget. You may complete the provided template (separate As file) <br />or you may submit your own budget file (as long as it contains the same information, in the <br />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 />• Private Donations <br />• Program Generated Revenue <br />• 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 />• 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 />• Compensation <br />• Rent & Utilities <br />• Supplies & Equipment <br />• Travel & Training <br />• Other Expenses <br />2. Program Budget Detail — Provide description of "other" budget items, not defined. <br />a. Survey incentives of a $5 gas card will be given to the first 200 parents that <br />answer our parent evaluation at the end of the session. We are hoping to <br />receive more parent feedback by offering these incentives. $5 x 200 <br />parents = $1,000 <br />b. Transportation for parents to get their child to camp. cost is $30 /day for 5 -day <br />camp =$150 per child. Given to 10 children = $1,500. <br />3. This program budget represents what percent of the agency budget? 44.4 % <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 27 Of 29 <br />Actual 2015 -,16 <br />Estimated 2016 -17 <br />Projected 2©17 -18 <br />Total Cost of Program <br />223,702 <br />276,334 <br />291,258 <br />Total # of Individuals <br />1,555 <br />1,609 <br />1,641 <br />Cost Per Individual <br />144 <br />172 <br />177 <br />1/12/2017 2:56:42 PM 27 Of 29 <br />