BUDGET APPLICATION School District Contact Person Telephone Number Cell Phone Number Mailing Address City State ZIP Code Budget/Project Period (MM/DD/YYYY) From To July 1, 2017 June 30, 2018 Select A Program: 21st Century Title I Refugee Title II A Adult Education Title I Program Improvement STEEP Title II B Neglected & Delinquent State Funding Title III LEP Title VI – Homeless Title VI REAP III IMM Other: – Migrant Amounts of Funds Object Code Requested Amounts Approved Comments 110 Professional Salary 120 Non-professional Salary 200 Employee Benefits 300 Purchased Professional & Technical Services 430 Maintenance 580 Travel 600 Supplies & Materials 730 Equipment 800 Dues, Memberships, & Registrations Fees 900 Indirect Costs Unobligated Subtotal Grand Total Object/ID Object/ID Code Example Code Example Professional Salary Salaries for certified personnel – including: teachers, substitute teachers, stipends to staff 110 430 Maintenance Repair of Equipment – for attending workshops that are held after regular school hours. Non-professional Salary Salaries for non-certified – Travel Expenditures for staff travel, including mileage, – 120 personnel including: aides, paraprofessionals, bus 580 airline tickets, taxi fares, meals, lodging drivers, secretaries. Employee Benefits Payments that are not part of gross – salary made on behalf of employees; i.e., insurance, Materials/Supplies Expendable items that are – Social Security, retirement, unemployment consumed, worn out, or deteriorated in use; freight, 200 600 compensation, Workers Compensation, annual leave, books, school supplies, periodicals/subscriptions, sick leave. School districts paying stipends to staff must software, software applications pay benefits for those stipends. Purchased Professional & Technical Services Equipment Includes items such as document cameras, – – Purchased services for which the district has a contract iPods, iPads, computers, printers even if the cost is less 300 730 on file including: speaker fees, professional than $750. These items must be tagged as being development on site, auditors, consultants, etc. purchased with Title I funds. Dues, Memberships, Registration Fees (includes license 800 fees) Printed Name of Local Authorized Representative Signature Date For Department Use Only Date Received Amount Approved Approved Date Approved Yes No Signature-Coordinator Date Signature-Assistant Superintendent Date DEPARTMENT OF PUBLIC INSTRUCTION
BUDGET APPLICATION School District Contact Person Telephone Number Cell Phone Number Mailing Address City State ZIP Code Budget/Project Period (MM/DD/YYYY) From July 1, 2017 To June 30, 2018 Select A Program: 21st Century Adult Education Neglected & Delinquent Homeless Migrant Title I Title I Program Improvement State Funding Title VI REAP Refugee STEEP Title III – LEP III – IMM Title II A Title II B Title VI Other: Object Code Amounts of Funds Requested Amounts Approved Comments 110 Professional Salary 120 Non-professional Salary 200 Employee Benefits 300 Purchased Professional & Technical Services 430 Maintenance 580 Travel 600 Supplies & Materials 730 Equipment 800 Dues, Memberships, & Registrations Fees 900 Indirect Costs Unobligated Subtotal Grand Total Object/ID Code Example Object/ID Code Example 110 Professional Salary – Salaries for certified personnel including: teachers, substitute teachers, stipends to staff for attending workshops that are held after regular school hours. 430 Maintenance – Repair of Equipment 120 Non-professional Salary – Salaries for non-certified personnel including: aides, paraprofessionals, bus drivers, secretaries. 580 Travel – Expenditures for staff travel, including mileage, airline tickets, taxi fares, meals, lodging 200 Employee Benefits – Payments that are not part of gross salary made on behalf of employees; i.e., insurance, Social Security, retirement, unemployment compensation, Workers Compensation, annual leave, sick leave. School districts paying stipends to staff must pay benefits for those stipends. 600 Materials/Supplies – Expendable items that are consumed, worn out, or deteriorated in use; freight, books, school supplies, periodicals/subscriptions, software, software applications 300 Purchased Professional & Technical Services – Purchased services for which the district has a contract on file including: speaker fees, professional development on site, auditors, consultants, etc. 730 Equipment – Includes items such as document cameras, iPods, iPads, computers, printers even if the cost is less than $750. These items must be tagged as being purchased with Title I funds. 800 Dues, Memberships, Registration Fees (includes license fees) Printed Name of Local Authorized Representative Signature Date For Department Use Only Date Received Amount Approved Approved Yes No Date Approved Signature-Coordinator Date Signature-Assistant Superintendent Date DEPARTMENT OF PUBLIC INSTRUCTION
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