Orange County NC Website
Browse       Search
DocuSign Envelope ID: 7A9252AF- OE3A- 47EE- A4F6- 2A3D9DF527FF <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />p) Program Budget - Learning Across Generations <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 />• 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 />• 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 />"Other" expenses includes insurance, printing, postage, and miscellaneous. <br />3. This program budget represents what percent of the agency budget? 21 % <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 />Actual 2016 -17 <br />Estimated 2017 -18 <br />1 Projected 2018 -19 <br />Total Cost of Program <br />Total # of Individuals <br />$52,400 <br />1,416 <br />$68,031 <br />$78,133 <br />1,679 <br />1,962 <br />Cost Per Individual <br />$37.00 <br />$40.52 <br />$39.82 <br />