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p)Program Budget <br />1.Submit your programbudget.You may completethe 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, asrequested 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 />x 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 NOTInclude HOME funding here) <br />o Other Government Grants <br />Triangle United Way <br />State Government <br />Federal Government (CDBG/HOME/etc.) <br />Private Foundation Grants <br />o Other Revenue <br />x Expenditures <br />o Compensation <br />o Rent & Utilities <br />o Supplies & Equipment <br />o Travel & Training <br />o Other Expenses <br />2.Program Budget Detail –Provide description of “other” budget items, not defined. <br />Mentoring&YouthProgramDevelopment.Cost for technical assistance to support <br />MBK-related agencies, including in-person staff training workshops, training facilitation <br />(mentor/mentee/parents), and baseline data assessmentsto help these programs <br />incorporate or enhance qualityyouthdevelopmentpractices that lead to long term <br />sustainability. <br />MBK Opportunity Summits. Cost for supplies, food, presenters, and materials for two <br />(2) MBK Opportunity Summits for high school students, college students, K-12 <br />educators, and community and business leaders. Summits will focus on student <br />achievement, career/personal/professional development, social justice and engagement, <br />and mentorship. <br />3.This program budget represents what percent of the agency budget? 6% <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 />EXHIBIT A: Provider's Outside Agency Application <br />DocuSign Envelope ID: 7399BACD-0CBF-4EF4-9068-B429A8CA12F8