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MAIN APPLICATION <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 />$50 <br />Total <br />$9,000 <br />Complete the table below for the project /program for which you are requesting funds. <br />Attach additional rows /pages, as needed. <br />Program: Sexual Health Education and Outreach <br />Cost Elements <br />Cost $ <br />Quantity/Unit of measure <br />Subtotal $ <br />Refreshments — Teen Voices (TV), Smart Girls, <br />Alumni <br />$7 <br />TV — 15 participants x 12 sessions <br />Smart Girls — 10 participants x 10 <br />sessions <br />$2,632 <br />Refreshments — Parents, charlas /chats <br />$7 <br />5 -15 participants per workshop x 2 parent <br />workshops and 2 charlas /chats <br />$280 <br />Incentives — Gift Cards <br />$300 + $2 fee <br />TV - 15 participants <br />$4,530 <br />$100 +$2 fee <br />Smart Girls —10 participants <br />$1,020 <br />$50 <br />1 drawing per workshop x 2 parent <br />workshops and 2 charlas /chats <br />$200 <br />Incentives — T- shirts <br />$7.50 <br />TV — 15 participants <br />Smart Girls 10 participants <br />Alumni — 8 participants <br />$247.50 <br />Rental <br />Variable <br />TV and Smart Girls - $300 each <br />Parents and chats - $200 each <br />Alumni - $150 <br />$1,150 <br />Mileage — Community Educator <br />$0.54 <br />175 miles per month x 12 <br />$1,134 <br />Training — New Educator on curriculum <br />$995 <br />1 participant <br />$995 <br />Copies <br />$0.50 <br />800 copies for worksheets, promotional <br />$400 <br />Office Supplies <br />$40 <br />Per month x 12 <br />$480 <br />Brochures <br />$40 <br />Per 100 x 10 topics <br />$400 <br />Promotional materials - swag <br />$2 <br />3 promotional items (keychains, pens, <br />carbineers, etc) x 150 of each <br />$900 <br />Guest Trainers - TV <br />$100 <br />2 speakers <br />$200 <br />Peer Assistant - TV <br />$100 <br />1 assistant <br />$100 <br />Main Application 1/21/2016 18:35:26 a1 /p1 Page 21 of 24 <br />