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DocuSign Envelope ID: EBOFBDBE -FD15- 4428- 899B- 19A867F94OCC <br />p) Program Budget `� R M <br />1. Submit your program budget. You may complete the provided template (separate xls <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 />a 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 tither Govemment Grants <br />• Triangle United Way <br />• State Government <br />• Federal Government (CDBG /HOME/etc.) <br />• Private Foundation Grants <br />a Other Revenue <br />Expenditures <br />a Compensation <br />o Rent & Utilities <br />a Supplies & Equipment <br />o Travel & Training <br />a Other Expenses <br />2. Program Budget Detail — Provide description of "other" budget items, not defined. <br />3- Miscellaneous /father Income includes interest, recycling revenue, dividend and <br />investment <br />4. This program budget represents what percent of the agency budget? .57% <br />5. COST PER INDIVIDUAL <br />This Cast per Individual must reflect the total program budget divided by the total number of <br />program individuals in this application. <br />PRnrRAAA WF:nPAAATtnnr 919119nl R 9- 9rt -dR PAA P P r, n 99 r, ?, 9 , <br />Actual 2016 -17 <br />Estimated 2017 -18 <br />Projected 2018 -19 <br />Total Cost of Program <br />507,794 <br />499,881 <br />499,881 <br />Total # of Individuals <br />_ <br />9,641 <br />9,841 <br />9,841 <br />Cost Per Individual <br />_ <br />52.67 1 <br />50.84 <br />50.80 <br />PRnrRAAA WF:nPAAATtnnr 919119nl R 9- 9rt -dR PAA P P r, n 99 r, ?, 9 , <br />