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►l . ► d • ► <br />b.) Program Budget Detail <br />What is the cost to deliver your project/program? List each project/program element in the table below, <br />including the cost of each element, the quantity and unit of measure, and the subtotal for each element. <br />Where necessary, allocate costs to the use of shared space, vehicles or equipment. <br />Example Program: Credit Counseling Class <br />Cost Elements <br />( Cost ($) <br />Quantity /Unit of Measure <br />Subtotal ($) <br />Credit Counseling Teacher –in class <br />$25 <br />96 hours (8 hrs/mth x 12 months) <br />$2,400 <br />Credit Counseling Teacher —class prep <br />$25 <br />48 hours (4hrs/mth x 12 mths) <br />$1,200 <br />Credit Counselor — one -on -one <br />$20 <br />120 hours (10 hrs/mth x12 mths <br />$2,400 <br />Materials <br />$25 <br />120 course packets /credit reports <br />$3,000 <br />Counseling for 30 children <br />$30 / child <br />Total <br />$9,000 <br />Complete the table below for the protect /program for which you are requesting funds. <br />Attach additional rows /pages, as needed. <br />Program: Duke HomeCare & Hospice <br />Cost Elements <br />Cost $) <br />Quantit !Unit of measure <br />Subtotal $ <br />School Grief Group <br />$125 session <br />6 <br />$750 <br />Staff Supervision/Training <br />$150/6 <br />sessions <br />1 <br />$150 <br />Mileage <br />24 sessions <br />6 <br />$144 <br />Camp ReLEAF –13 students <br />$340 /Student <br />13 <br />$4420 <br />Counseling for 30 children <br />$30 / child <br />30 <br />$900 <br />Counseling for 250 Adults <br />$30 / Adult <br />250 <br />$7500 <br />Total <br />$13,864 <br />c.) Cost per Unit <br />This Cost Per Unit must reflect the total program budget and the total number of <br />program beneficiaries (households or persons) in this application and must be <br />consistent with report submittals from previous years (if applicable). <br />........... <br />Main Application 1/25/2016 11:36:35 AM Page 14 of 16 <br />Actual 2014 -15 <br />Estimated 2015 -16 <br />Projected 2016 -17 <br />Total Cost of Program <br />$11,020,478 <br />$11,518,000 <br />$11,881,000 <br />Total # of Units <br />$53,931 <br />$57,183 <br />$58,775 <br />Cost Per Unit <br />$204.34 <br />$201.42 <br />$20214 <br />This Cost Per Unit must reflect the total program budget and the total number of <br />program beneficiaries (households or persons) in this application and must be <br />consistent with report submittals from previous years (if applicable). <br />........... <br />Main Application 1/25/2016 11:36:35 AM Page 14 of 16 <br />