2016 Older Adult Health Promotion RFP Proposed Personnel Detail Budget January 1, 2017-December 31, 2017 Applicant Agency Name: Proposed Program Name: Agency’s Full-Time Equivalent hours/week Amount by Fund Source(s) (FTE) = Requested Other Other Other # of Hourly Total Position Title Name FTE HSD Fund Fund Fund Employed Rate Program Funding Source Source Source Subtotal Salaries & Wages – Personnel Benefits: FICA Pensions/Retirement Industrial Insurance Health/Dental Unemployment Compensation Other Employee Benefits Subtotal Personnel Benefits: – Total Personnel Costs (Salaries & Benefits):
2016 Older Adult Health Promotion RFP Proposed Personnel Detail Budget January 1, 2017-December 31, 2017 Applicant Agency Name: Proposed Program Name: Agency’s Full-Time Equivalent (FTE) = hours/week Amount by Fund Source(s) Position Title Name FTE # of Employed Hourly Rate Requested HSD Funding Other Fund Source Other Fund Source Other Fund Source Total Program Subtotal – Salaries & Wages Personnel Benefits: FICA Pensions/Retirement Industrial Insurance Health/Dental Unemployment Compensation Other Employee Benefits Subtotal – Personnel Benefits: Total Personnel Costs (Salaries & Benefits):