EMERGENCY FOOD AND SHELTER PROGRAM (EFSP) OF BROWARD COUNTY PHASE XXXV FUNDING APPLICATION 15 A- FINANCIAL INFORMATION PROGRAM Budget (EFSP Request ) Organization Name: Address, City & Zip Code: Agency Fiscal Year Begins Contact Person: Telephone: Fax: E-mail: AGENCY'S TOTAL ANNUAL BUDGET FOR 2018 $ ________________________ BUDGET FOR YOUR "EFSP" FUNDING REQUEST $ ________________________ PROGRAM BUDGET (Funding Request Categories) Clients to be Units of Service to be Non-EFSP Total Program Type of Service EFSP Funding Served w/EFSP Categories for Funding Provided with EFSP Program Budget Provided Request Funds Funding Budget EFSP + Non EFSP (Estimate) Example Only: Requested Grant Amount for Program Eg. Meals 3,000 3,000 $6,000 $40,000 $46,000 A. Mass Feeding Program ($2 per meal served) Meals B. Food Pantry Operations Meals C. Food Vouchers Food Vouchers D. Mass Shelter $12.50 Per diem per day Bed Nights E. Hotel/Motel Bed Nights Payment F. Rent/Mortgage Assistance (average $$ assistance) TOTAL EFSP FUNDING REQUESTED $_______________ $_______________ $______________________ *See attached example*
EMERGENCY FOOD AND SHELTER PROGRAM (EFSP) OF BROWARD COUNTY PHASE XXXV FUNDING APPLICATION 15 A- FINANCIAL INFORMATION PROGRAM Budget (EFSP Request ) Organization Name: Address, City & Zip Code: Agency Fiscal Year Begins Contact Person: Telephone: Fax: E-mail: AGENCY'S TOTAL ANNUAL BUDGET FOR 2018 $ ________________________ BUDGET FOR YOUR "EFSP" FUNDING REQUEST $ ________________________ PROGRAM BUDGET (Funding Request Categories) Categories for Funding Type of Service Provided Units of Service to be Provided with EFSP Funding Clients to be Served w/EFSP Funds (Estimate) EFSP Funding Request Non-EFSP Program Budget Total Program Budget EFSP + Non EFSP Example Only: Requested Grant Amount for Program Eg. Meals 3,000 3,000 $6,000 $40,000 $46,000 A. Mass Feeding Program ($2 per meal served) Meals B. Food Pantry Operations Meals C. Food Vouchers Food Vouchers D. Mass Shelter $12.50 Per diem per day Bed Nights E. Hotel/Motel Bed Nights F. Rent/Mortgage Assistance Payment (average $$ assistance) TOTAL EFSP FUNDING REQUESTED $_______________ $_______________ $______________________ *See attached example*
EFSP-Phase-35-BLANK-Application-3.13.18.docx