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EXHIBIT 3 <br />Budget Form <br />BudeetForm Instructt_QllsJoLYP—N Membership <br />All costs related to the program activities described In the proposal must be included on the Budget Form. A budget <br />narrative must be attached on a separate sheet of paper for all line items marked with an " asterlsk. <br />-- ... — . <br />_ ...................... <br />Personnel <br />Salaries: List each individual position dedicated to this project. List title, percentage of full time equivalent <br />(FTE) or the amount of time to be charged to this project. <br />.......................—_...__............................................................... <br />_.. <br />-'r3rEff�ii3:—iiSt�ClYiTiCiY4 �G�C7ai`FfOS4ttQ5 i'iifdfCa R:{i LO�"i1�SjJiTljeCt-�l$i iitlYErp2fTt'ttiaBL O-�fllii-LTtT(E e'q'OTV�iIETIi <br />(FTE) or the amount of time to be charged to this project. <br />OPERATING EXPCN <br />.. _... ................................._._ ...................................................................... .— <br />Rent or User Fee: Provide percent of office space that will be charged to this project. Describe how <br />percentage was determined. <br />Equipment Rental Fee (equipment may not be purchased): List items that will be used for this project. <br />Provide percent of rental fee that will be charged to this project. Describe how percentage was determined. <br />.................................................._........_ ................. ..._-- - <br />Vehicle Lease (vehicles may not be purchased): Provide list of vehicles dedicated for this project. Describe <br />vehicle use and percentage of use that will be charged to this project. Describe how percentage was <br />Indirect Cost: Provide indirect cost rate plan. <br />Participant Wages: Describe costs directly related to individual participants such as paid training and/or <br />work experience. Include number of youth, hourly wage, benefits and bonuses. Include length of activity. <br />Support Services: Attach policies and procedures For supportive services. Policy must include spending limits. <br />Participant Incentives: Indicate the type of payment, rate of payment and describe what youth must achieve <br />to receive the incentive. <br />Other: This item may include fieldtrips and youth stipends. All items must listed and include cost details. <br />States, local governments and non-profit institutions who receive $500,000 or more in federal funds in a <br />fiscal year shall meet the audit requirements of the OMB Circular A-133, "Audits of States, and Local <br />City Council <br />EXHIBIT G <br />16 — 284 7/6/2021 <br />