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DocuSign Envelope ID: E7F88FC1-7C61-4E68-8AF9-5870F711DEBC it A continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> k.) Schedule of Positions <br /> Please include program staff positions followed by volunteer positions; these financial figures should <br /> match the personnel figures in your Agency Comparative Budget Excel form. Similar positions can <br /> be combined. (i.e., 8 Occupational Therapists can be inserted as one line item). <br /> If provided, <br /> indicate: <br /> Position Titles %FTE* Actual Estimated Projected %Total Retirement <br /> Vaacan <br /> -Vacant <br /> # Program <br /> Staff+ram 2014-15 2015-16 201.6-17 Budget <br /> Plan <br /> (H) Health <br /> Plan <br /> Executive Director 1.00 90(1) 38,065 55,000 55,000 9% N/A <br /> 10(2) <br /> Program Director 1.00 90(1) 37,548 38,065 38,065 6% N/A <br /> 10(2) <br /> Finance Director 1.00 90(1) 30,239 36,500 36,500 6% N/A <br /> 10(2) <br /> Client Services .875 90(1) 23,705 28,510 28,510 5% N/A <br /> Director <br /> 10(2) <br /> Program Assistant 1.00 100(1) 38,052 29,110 29,110 5% N/A <br /> Companions 12 100(1) 221,154 235,000 240,000 42% N/A <br /> Volunteers 2.24 100(1) 0 0 0 0% N/A <br /> Field Supervisor 1.00 100(1) 0 27,040 27,040 4% N/A <br /> Notes: <br /> + Similar positions can be combined: i.e. 8 Occupational Therapists can be inserted as one line item. <br /> • .. Full Time Equivalent staff will be noted as 1.00; half time as .50;quarter time as .25, etc. <br /> + Denotes the percentage of staff time involved with this program. <br /> Calculate a Full Time Equivalent for all recorded volunteer hours using the following: <br /> Total Volunteer Hours=Volunteer FTE <br /> 1,960 <br /> Main Application 1/25/2016 1:23:4+6 PM p a g e 1 4 o f 2 6 <br />