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DocuSign Envelope ID: EE049453-18E5-41 DO-B66D-B62773A7BC09 <br /> EXHIBITA: Provider's Outside Agency Application <br /> h) Agency Budget <br /> i. Is your agency currently receiving and/or requesting other (non-Human Services) <br /> local (Town of Carrboro, Town of Chapel Hill, Orange County) government <br /> funding? (Yes/No) No <br /> If yes, please list below: <br /> Include all programs that have funding requests/awards/totals from Carrboro, Chapel <br /> Hill, and Oran_qe County governments (other than Human Services). DO NOT include <br /> federal funding sources, such as CDBG and HOME. <br /> Program FYI 7-18 FYI 8-19 Source <br /> Award Request <br /> Ex: Affordable Rental 0 $20,000 Carrboro - Affordable Housing <br /> Rehabilitation <br /> Ex: Agency Administration $15,000 $15,000 Carrboro — Other <br /> Ex. Total $15,000 $35,000 Carrboro Total Funding <br /> *Add rows or attach additional page, if needed. <br /> ii. Submit your agency's budget. You may complete the provided template (separate <br /> As file) or you may submit your own budget file (as long as it contains the same <br /> information, and in a similar format, as requested in the provided template). <br /> Agency 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 /> • Program Generated Revenue <br /> o Local Government Grants <br /> • Carrboro Human Services <br /> • Carrboro Other <br /> • Chapel Hill Human Services <br /> Agency Information 1/23/2018 1:34:47 PM Page 12 of 26 <br />