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Attachment C
<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 />
<br />
<br />
<br />-vitro W.WQ1W14 i Administrative
<br />No more than 10%
<br />allowed.
<br />AMR Program Total WIA Match/In-Kind Total
<br />Salaries*
<br />1. FYLP Peer Mentors
<br />(4 at.450 FTE at $14.00/hr.) $66,976 $66,976 $66,976
<br />2. FYLP Supervisor (.50 FTE) $16,017 $16,017 $16,017
<br />3. Senior Accountant (.10 FTE) $5,300 $4,710 $4,710
<br />Use separate sheet if necessary.
<br />Benefits*
<br />1. FYLP Supervisor (23%) $3,684 $3,684 $3,684
<br />2. Senior Accountant (23%) $1,219 $1,083 $1,083
<br />Use separate sheet if necessary.
<br />Total Personnel
<br />Rent or user fee* $6,,15519 $86,677 $92,470?y1 g };ice
<br />$9,000 $92,470
<br />$9,000
<br />Utilities $7,200 $3,600 $3,600 $7,200
<br />Phones $4,800 $2,400 $2,400 $4,800
<br />Internet fees $2,000 $1,000 $1,000 $2,000
<br />Parkin fees
<br />Security
<br />Maintenance
<br />Insurance $6,000 $3,000 $3,000 $6,000
<br />Equipment rental fees*
<br />Vehicle lease*
<br />Office expenses
<br />(consumables) $7,000 $3,500 $3,500 $7,000
<br />Accounting Services
<br />-Legal services
<br />Auditing services $1,000 $500 $500 $1,000
<br />Indirect costs*
<br />Staff training $1,300 $1,300 $1,300
<br />Staff travel/mileage $275 $275 $275
<br />Participant Wa es*
<br />Support services* $17,201 $17,201 $17,201
<br />Participant Incentives* $7,143 $7,143 $7,143
<br />Other (list)*
<br />Total .0 eratin Expenses
<br />{ $0
<br />`r1" .y
<br />6 19 $53,919
<br />Tl"yh>t _ L .
<br />$?40=596
<br />Y $38,344
<br />$ ?30,814 $24,575
<br />5'7 $62,919
<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."
<br />Exhibit F
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