Orange County NC Website
Browse       Search
DocuSign Envelope ID: 557EOBA8 -OFDF- 4943- B10E- 6AB96D651F4B <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />p) Program Budget <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 />o Private Donations <br />o Program Generated Revenue <br />o 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 />o Other Government Grants <br />• Triangle United Way <br />• State Government <br />• Federal Government (CDBG /HOMEIetc.) <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 program budget detail items not defined include: HOA due, management fees, <br />property taxes, and court fees <br />3. This program budget represents what percent of the agency budget? 52% <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 />PROGRAM INFORMATION 1/2212 018 3:45:38 PM Page 19 of 22 <br />Actual 2016 -17 <br />Estimated 2017-18j <br />Projected 2018 -19 <br />Total Cost of Program <br />$262,309.00 <br />$272,045.00 <br />$282,233.00 <br />Total # of Individuals <br />645 <br />676 <br />696 <br />Cost Per Individual <br />407.00 <br />403.00 <br />406.00 <br />PROGRAM INFORMATION 1/2212 018 3:45:38 PM Page 19 of 22 <br />