rochester area common application form

5. Program or Project Budget Sheet

 

A. Provide the following information regarding the program or project for which you seek funds.

 

SUPPORT/REVENUE

 

Total Anticipated Support/Revenue

  1. This grant request

 

  2. Fundraising events

 

  3. Gifts/bequests

 

  4. Miscellaneous contributions

 

  5. Foundation/corporate grant support

 

  6. United Way

 

  7. Grants/contracts: govt. agencies

 

  8. Program service fees

 

  9. Membership dues

 

10. Investment income/transactions

 

11. Sales: services, products, crafts

 

12. Miscellaneous revenue

 

13. Subtotal Direct Support/Revenue

 

14. Proration: General & Management Income

 

15. Total Support/Revenue

 

 

 

EXPENSES

 

Total Expenses

Expenses Covered By This Grant Request

16. Salaries of provider staff

 

 

17. Fringe benefits

 

 

18. Professional fees (contract, consultant)

 

 

19. Supplies (consumable)

 

 

20. Printing and postage

 

 

21. Occupancy

 

 

22. Phone and fax

 

 

23. Travel and meetings

 

 

24. Training

 

 

25. Evaluation

 

 

26. Equipment purchases

 

 

27. Miscellaneous expenses

 

 

28. Subtotal Direct Expenses

 

 

29. Proration: General & Management Expenses

 

 

30. Total Expenses

 

 

 

31. Surplus (Deficit)

 

 

B. If you feel elements of your budget need explaining, please do so in no more than ½ page.