PLEASE NOTE: HIGHLIGHTED IN YELLOW ARE CHANGES/EDITS

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1 NAME: Tamiko Cuellar Program Worksheet Inputs PLEASE NOTE: HIGHLIGHTED IN YELLOW ARE CHANGES/EDITS List your Inputs - Be specific and include everything Are they operating (O) or capital (C)? Are they variable (V) or fied (F)? Staff Inputs - Who [Positions - and how many of each]; Full or Part Time [if Part Time, how many hours/week]; Regular or Seasonal [if Seasonal, how many weeks]; Benefits or Not; Wages [Annual Salary or hourly wages]. Include a portion of the Eecutive Director or General Program Director to whom this Program Director will report. Position(s): 1 Full time Program Manager w/ Bachelor's degree + 3 years management eperience. Benefits included. O F Position(s): 1 Full-time Counselor, licensed, w/ 1 yr. miniumum social work background. Benefits included. O F Position(s): 1 Full-time Counselor, licensed, w/ 1 yr. miniumum social work background. Benefits included. O F Position(s): 1 Full-time Counselor, licensed, w/ 1 yr. minimum social work background. Benefits included. O F Position(s): Part-time female van driver w/ clean background check and driving record. 30 hours per week. No benefits. O F Position(s): Current Eecutive Director (employee w/ benefits) - 20% of her time allocated to oversee this program. Annual salary = $60,000, therefore $12,000 allocated to this program. O F Client Needs -- List EVERYTHING needed by the clients in order to achieve your program: Food/snacks [what, how much, for how many, how often]; transportation [i.e. bus tickets: how many, what kind]; supplies [i.e. art supplies: how much, how often; testing: what kind, how often, how many; literacy programs: what kind, how many]; etc. Snacks - Apples and juice for 60 children and 30 moms per week for one hour counseling session each week. $22.50/week 52 weeks = $1,170/year serving bottles of each 90 = $45 per week 52 weeks = $2,340. $1,170 + $2,340 = $3,510 O V

2 Program Worksheet Inputs Facility Needs -- Even if you only use part of a facility, you need to determine how much of the total facility you will be using. Describe for me the type and numbers of rooms you will need. Determine about how many square feet they are in total, or determine approimately what percentage of the total building that area comprises. Remember, you need office space as will as client space, and maybe reception and storage space. List everything and describe it. You may have to remodel and/or build some facility. List that and check it the building/remodeling as "capital." For those facilities you will need to pay: Utilities [Gas, Electric, Water/Sewer, Phone]; Rent or Occupancy Epenses [repair and maintenance; Insurance]; Facility Cleaning and other supplies]. We''ll cover this in the net step. Utilties Facility Insurance Rent or Repair and Maintenance Facility Cleaning and other supplies Office Spaces for Program Manager and 3 Counselors is 10% of total space. 10% of $28,880 = $2,880. C F 10 fold up chairs for clients waiting in $15/each = $150. C F Office furniture (4 desks, 4 chairs, 4 filing cabinets = $2,000), 4 computers/1 shared printer & copier/4 phones equipment and supplies = $ $4,500 C V Transportation Needs -- I would STRONGLY suggest NOT buying a van for transportation, as that involves insurance, obtaining a qualified driver, upkeep and maintenance, etc. Instead, try to use public or other means of transportation [Listed under "Client Needs"]. However, if you must, you must. This area will also be for mileage reimbursement for staff using their own transportation for business business rates are $0.505/mile. Used 12 Passenger Van = $20,000 C F Gas and Maintenance O V Insurance O F Organizational Needs -- You will need to pay a portion of the "overhead" [i.e. administrative] needs for the organization -- those that are rightly allocated to your program. List those you need that I have not. Payroll and Accounting Epenses Audit Epenses Legal Epenses Liability Insurance

3 Program Worksheet Inputs Development Epenses -- We will cover this later.

4 Program Epense Worksheet Operating Epenses Quantify your Inputs - Annual Operating Epenses Staff Inputs: Title; Number of People in that Position; Full or Part Time; Wages or Annual Salary -- Type in Annual Compensation Total for All People in each listed Position [i.e. If you have "2 full-time social workers" at $26,000/year each, you would type in $52,000]. Blue numbers only! Annual Epense Operating or Capital Epense [O / C] Fied or Epense Position(s): 1 Full time Program Manager w/ Bachelor's degree + 3 years management eperience. Benefits included. $40, O F Position(s): 1 Full-time Counselor, licensed, w/ 1 yr. miniumum social work background. Benefits included. $32, O F Position(s): 1 Full-time Counselor, licensed, w/ 1 yr. miniumum social work background. Benefits included. $32, O F Position(s): 1 Full-time Counselor, licensed, w/ 1 yr. minimum social work background. Benefits included. $32, O F Position(s): Part-time female van driver w/ clean background check and driving record. 30 hours per week. No benefits. $18, O F Position(s): Current Eecutive Director (employee w/ benefits) - 20% of her time allocated to oversee this program. Annual salary = $60,000, therefore $12,000 allocated to this program. $12, O F Subtotal $166, Times Taes (.0765) $12, Times Benefits (.25 - estimating that some will not be covered) $41, Times Staff Development (.05) $8, Total Staff Epenses $228, Client Needs -- List EVERYTHING and how much those items will cost for the year. Annual Epense Snacks - Apples and juice for 60 children and 30 moms per week for one hour counseling session each week. $22.50/week 52 weeks = $1,170/year serving bottles of each 90 = $45 per week 52 weeks = $2,340. $1,170 + $2,340 = $3,510 $3, V Fied or Epense

5 Program Epense Worksheet Operating Epenses Total Client Epenses $3,510.00

6 Program Epense Worksheet Operating Epenses Facility Needs -- Ask how much these total annual bills are for your building, or a similar building / space, and estimate the annual cost that way. Annual Epense Fied or Epense Phone / Internet Connection $2, F Utilties: Gas, Electric, Water/Sewer $1, V Facility Insurance $1, F Rent or Repair and Maintenance $2, V Facility Cleaning and other supplies $1, V Security Services (?) 4 Office/counseling spaces for 1 Program Manager and 3 10% of total office space rent ($28,880) = $2,880. $2, F Cell phone reimbursement to $30/month for 12 months = $360/year $ F 10 fold up chairs for clients waiting in $15/each = $150. $ F Total Facility Epenses $11, Transportation Needs -- List and estimate annual epenses. If you plan to own a vehicle, include gas, insurance, repairs and maintenance, license and fees. If it's mileage reimbursement, estimate that cost. Annual Epense Fied or Epense 12 Passenger Van $20, F Repairs and Manintenance $ V License and Fees $45.00 F Gas $3, V 12 Passenger Van Insurance $3, F Total Transporation Epenses $27, Organizational Needs -- Determine an estimate of these costs based on a reasonable basis and the total cost of a similar organization. Annual Epense Payroll and Accounting Epenses $1, F Audit Epenses $1, F Legal Epenses $1, F Liability Insurance $3, F Fied or Epense Total Program Operational Epenses $6, Development Epenses $1, F

7 Total Program Epenses Program Epense Worksheet Operating Epenses $279,404.00

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