Orange County NC Website
DocuSign Envelope ID: E1573D55- 1DC0 -4F4C- 9784- 749E3E95640B <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />Bank fees (PayPal costs for credit card transactions) <br />Dues and subscriptions <br />3. This program budget represents what percent of the agency budget? 100% <br />4. COST PER INDIVIDUAL <br />This Cost per Individual must reflect the total program budget divided by the total number of <br />program individuals in this application. <br />These are estimates and thus our best guesses for 2017 -18 and 2018 -19. <br />PROGRAM INFORMATION 1/22/2018 9:22:00 AM Page 23 of 26 <br />Actual 2016 -17 <br />Estimated 2017 -18 <br />Projected 2018 -19 <br />Total Cost of Program <br />$341,490 <br />$420,717 <br />$484,000 <br />Total # of Individuals <br />290 people <br />320 people <br />370 people <br />Cost Per Individual <br />$1,178 per <br />person (annual) <br />$1,315 per person <br />(annual) <br />$1308 per person <br />(annual) <br />These are estimates and thus our best guesses for 2017 -18 and 2018 -19. <br />PROGRAM INFORMATION 1/22/2018 9:22:00 AM Page 23 of 26 <br />