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SEP 51979 <br />GRANT APPLICATION Page 4 of 7 <br />Baa 41 P°1F 468 <br />Name of Applicant: Vocational Training and Sheltered Workshop <br />TOTAL BUDGET <br />1. Include figures from all delegate agency budgets. <br />2. Explain by attachment all expenditures over $200 per line item. <br />REVENUE <br />1. State Grant <br />2. Cash -Match -(no -federal -funds, except -revenue-sharing, allowed) <br />3. In -Kind Match <br />- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br />4. TOTAL REVENUE <br />GRANTEE ADMINISTRATIVE EXPENSE CASH IN-KIND <br />5. <br />Salaries <br />6. <br />Rental -Space _____________ <br />7. <br />Travel________________ <br />8. <br />Supplies_______________ <br />9. <br />Other (specify -on attachment) - _ _ _ <br />10. <br />Total (lines -5 -through -9) - - _ _ _ - <br />DELEGATE ADMINISTRATIVE EXPENSE <br />11. <br />Salaries <br />444.22 <br />12. <br />Rental -Space - - - - - - - - - - - - - <br />13. <br />Travel________________ <br />14. <br />Supplies_______ _ <br />15. <br />Other (sRecify_on attachment) _ _ _ _ <br />16. <br />Total (lines 11 through 16) <br />444.22 <br />*17. <br />TOTAL ADMINISTRATIVE COSTS (lines 10 <br />444.22 <br />and 16) <br />18. <br />Salaries <br />19. <br />Rental Space <br />20. <br />Travel-_-__________--_ <br />21. <br />Equipment <br />22. <br />Other (specify on attachment) <br />23. <br />Total (lines 18 through 22) <br />444.22 <br />DELEGATE PROGRAM EXPENSE <br />24. <br />Salaries <br />25. <br />Rental Space <br />26. <br />Travel___ <br />-_ <br />27. <br />Equipment <br />2500.00 <br />28. <br />_ _ _ _ _ _ <br />Other (specify on attachment) _ - _ _ <br />1497.28 <br />29. <br />Total (lines 24 through 28)3997.28 <br />_ _ _ _ _ <br />__ <br />30. <br />TOTAL PROGRAM EXPENSES (lines 23 and <br />29)4441.50 <br />OU <br />31. <br />TOTAL EXPENDITURES (cash -and -in-kind) <br />• <br />*Line <br />17 must not exceed 15% of two times line <br />1. <br />1480.50 <br />2g6l j <br />1.480.50 <br />1480.50 <br />-I <br />