District: Chancellor’s Office College: California Community Colleges RFA Specification Number: 17-034 Application Budget Summary Note: entering dollar amounts, round off to nearest dollar. When an Application Budget Detail Sheet for each funding source reflected here in cash or in-kind. Also explain expenditures by budget category. Submit Grant District Funds Other Other Other Grand Total Object of Requested Source Source Source All Funding Expenditure Classification Line (1) (2) (3a) (3b) (3c) Sources 1000 Instructional Salaries 1 2000 Noninstructional Salaries 2 3000 Employee Benefits 3 4000 Supplies and materials 4 5000 Other Operating Expenses & Services 5 6000 Capital Outlay 6 7000 Other Outgo 7 Total Direct Costs 8 Total Indirect (4% of Line 8) 9 Total Program Costs 10 Note: General Fund, District Match. For each grant dollar awarded, the recipient district shall provide one dollar in matching funds. Other Sources of Funds or In-kind Contributions. (Provide an Application Budget Detail Sheet for each funding source.) Indirect costs cannot exceed four percent (4%) of total direct costs (line 8). I authorize this total costs proposal as the maximum amount to be claimed for this project and assure that funds shall be spent in compliance with State and federal regulations. Project Director Signature: Date: District Chief Business Officer Signature: Date: (or Authorized Designee)
Chancellor’s Office California Community Colleges District: College: RFA Specification Number: 17-034 Application Budget Summary Note: When entering dollar amounts, round off to nearest dollar. Submit an Application Budget Detail Sheet for each funding source reflected here in cash or in-kind. Also explain expenditures by budget category. Object of Expenditure Classification Line Grant Funds Requested (1) District (2) Other Source (3a) Other Source (3b) Other Source (3c) Grand Total All Funding Sources 1000 Instructional Salaries 1 2000 Noninstructional Salaries 2 3000 Employee Benefits 3 4000 Supplies and materials 4 5000 Other Operating Expenses & Services 5 6000 Capital Outlay 6 7000 Other Outgo 7 Total Direct Costs 8 Total Indirect (4% of Line 8) 9 Total Program Costs 10 Note: General Fund, District Match. For each grant dollar awarded, the recipient district shall provide one dollar in matching funds. Other Sources of Funds or In-kind Contributions. (Provide an Application Budget Detail Sheet for each funding source.) Indirect costs cannot exceed four percent (4%) of total direct costs (line 8). I authorize this total costs proposal as the maximum amount to be claimed for this project and assure that funds shall be spent in compliance with State and federal regulations. Project Director Signature: Date: District Chief Business Officer Signature: Date: (or Authorized Designee)
2017_18_MESA_RFA17_034_Rev_06_16_17.docx