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MAIN APPLICATION b.) Program Budget Detail What is the cost to deliver your project/program? List each project/program element in the table below, including the cost of each element, the quantity and unit of measure, and the subtotal for each element. Where necessary, allocate costs to the use of shared space, vehicles or equipment. Example Program: Credit Counseling Class Cost Elements Cost ($) Quantity /Unit of Measure Subtotal ($) Credit Counseling Teacher –in class $25 96 hours (8 hrs /mth x 12 months) $2,400 Credit Counseling Teacher —class prep $25 48 hours (4hrs /mth x 12 mths) $1,200 Credit Counselor — one -on -one $20 120 hours (10 hrs /mth x12 mths $2,400 Materials $25 120 course packets /credit reports $3,000 Company Insurance 2,200 Total $9,000 Complete the table below for the project /program for which you are requesting funds. Attach additional rows /pages, as needed. Program: Cost Elements Cost ($) Quantity /Unit of measure Subtotal ($) Time Program Director 12,000 12,000 '/z Time Administrative / Booking Support 12,000 12,000 Program Supplies (Paper, pens, meeting supplies, etc) 1,750 1,750 Printing brochures, flyers, program badges 1,000 1,000 Company Insurance 2,200 2,200 Postage : brochure / flyer mailings 300 300 Travel to and from meetings; Seminars 750 750 Total 30,000 c.) Cost per Unit Actual 2014 -15 Estimated 2015 -16 Projected 2016 -17 Total Cost of Program Total # of Units Cost Per Unit This Cost Per Unit must reflect the total program budget and the total number of program beneficiaries (households or persons) in this application and must be consistent with report submittals from previous years (if applicable). Main Application 2/11/2016 9:12:15 AM Page 18 of 20