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Program Budget <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 />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/HOME/etc.) <br />▪ Private Foundation Grants <br />o Other Revenue <br />● 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 />Personel Community health educator -$18/hr x 20 hr/wk x 52 wk = $18,720 <br />Benefits (FICA, Health Ins, Life Ins, Workers Comp, Disability, <br />Retirement) x 50% = $4,885 <br />Sr Director of Education -$66,547 annually + $13,234 Benefits x 5% = <br />$3,989 <br />$27,594 <br />Incentives –Gift Cards 15 participants x $300 + $2 fee ($4,530); 10 participants x $100 + <br />$2 fee($1,020); workshops x 4 x $50 ($200); parent multi-sessions - <br />$15 x5 sessions x10 parents ($750); t-shirts: 32 (25 participants + 7 <br />alumni) x $7.50 ($240) <br />$6,740 <br />Office Supplies $100 per quarter x 4 $400 <br />Postage $150 <br />Printing $100 per quarter x 4 $400 <br />Mileage $95 miles per month x 12 $1,045 <br />Lodging $210 <br />Exhibit A: Provider's Outside Agency Application <br />DocuSign Envelope ID: ED368FB6-6FB1-45A7-A8CA-9AB3EAEB624E