Nonprofit Grant Application Instructions for FY14 (2)

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4. Total Budget and Position Count a. Total Program Budget applies to the rroogram seeking County grant funding. b. Total Agency Budget applies to the entire agency. C. Total Program Position Count means number of positions that are in the program for which you are seeking funds. d. Total Agency Position Count means positions in the entire agency. 5. Program Funding Sources a. List all sources of funds that you anticipate will fund your program budget, including state and /or federal grants, other specific grants, fundraising events, etc. 6. Explain what plans your agency or program has to increase revenues to support this program. 7. Program Objectives Using County Grant Program Funds a. Summary of the objectives the program is designed to accomplish which are specific to the use of County grant funds. 8. Program Performance Measures a. Quantifiable indicators of public and client benefits from your program's actions, and /or the number of goods or services your program produces. 9. Program Expenditures a. If agency costs are attributable to more than one program, please estimate the amount allocated to the program to which you are seeking funds. For example, if personnel (Salary and Wage cost) utilized by this program are also used by your organization in other functions or programs, report only the portion allocated to the program to which you are seeking funds. b. For columns 1 and 2 (FY 12 -13 Actual & FY 13 -14 Total Budget), reflect your program's total budget, including all revenue sources. C. For column 3 (FY 13 -14 Grant Request), report only the portion of your budget for which you expect to be funded by County grant funds. 10. Complete the Organization Conflict Disclosure Form. a. The "Name" and "Position" section at top refers to the organization's member who may have a Conflict of Interest. Leave blank if no member of organization has a potential Conflict of Interest. b. Signature of Authorized member of organization. Must be signed regardless of whether or not a conflict exists. Proof of Authorization (as indicated in bylaws, resolution, etc.) to sign must be provided. 11. Certification of Understanding a. Signature required. Proof of Authorization (as indicated in bylaws, resolution, etc . to sign must be provided. 12. Exhibit `B" — Council Award Worksheet a. Complete the applicant section of Table I and Table II in Exhibit `B ". (do not complete the "Council Award" column). This should be identical to the information provided in Table I and Table II in Exhibit "A" of the application. Page 2 of 4