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Exhibit F
<br />BUDGET FORM
<br />All costs related to the program activities described in the proposal must be included on the Budget Form. A budge
<br />narritive must be attached on a separate sheet of paper for all line items marked with an * astrisk.
<br />Personnel=
<br />Salaries*
<br />1. FYLP Peer Mentors
<br />(3 at .450 FTE at $14.00/hr.)
<br />2. FYLP Supervisor (.25 FTE)
<br />3. Senior Accountant (.05 FTE'
<br />Use separate sheet if necessary.
<br />Administrative
<br />No more than 10%
<br />allowed. Program Total WIA Match/ln-Kind Total
<br /> ~-
<br />r.
<br />
<br /> $39,312 $39,312 $39;312
<br />
<br />$2,500 $11;850 $11';850
<br />$2,500 $12,450
<br />$2,800 $24,300...
<br />$5,300
<br />Benefits*
<br />
<br />1. FYLP Supervisor (23%) $2,850 $2,850 $2
<br />850
<br />2. Senior Accountant (23%) $575 $575 $675 ,
<br />$1
<br />250
<br />Use separate sheet if necessary. ,
<br />Total Personnel
<br />".
<br />~ $57,087 $15
<br />925 $73
<br />012
<br />C1 eratin
<br />Ez
<br />eil.~es ~
<br />Rent or user fee'" -
<br />~ f ,
<br />~ Ps,x
<br />~
<br />~~ ,
<br />_~~ ,
<br />
<br />Utilities $9,000 $9,000
<br /> $5,000 $5,000 $2,000 $7;000
<br />Phones
<br />Internet fees $5,500 $5,500 $1,500 $7,000 "
<br />Parkin fees
<br />Securi
<br />Maintenance
<br />Insurance
<br /> $5,000 $5,000. $3,000 $$;000
<br />E uipment rental fees'"
<br />Vehicle lease*
<br />Office expenses
<br /> $6,000 $6,000 $2,000 $8;000
<br />(consumables)
<br />Accountin Services
<br />
<br />Le al services
<br />Auditin services
<br />Indirect costs*
<br />Staff trainin
<br /> $500 $500 $1,000 $1;500
<br />Staff travel/miles a $200 $200' $200
<br />Partici ant Wa es*
<br />Su port services"
<br /> $12,000 $12,000 ' $12;000
<br />Partici ant Incentives*
<br />'" $5,400 $5,400 $5;400
<br />Other (list)
<br />TotalO eratin Ex enses
<br /> $39,600 $18,500 $58,100
<br />GRAND TOTAL
<br />(Total Personnel + Total. $96,687 ~ $34,425 ~~ $131,112
<br />O :eratin Ex enses ; ,
<br />*See Budget Form Instructions
<br />Note: Audit Requirements
<br />States, local governments and non-profit institutions who receive $500,000 or more in federal funds in a fiscal year
<br />shall meet the audit requirements of the OMB Circular A-133, "Audits of States, and Local Governments and Non-
<br />Profit Institutions."
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