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APPLICATION FOR GRANT FU "'DING <br />OFFIC. JF THE GOVERNOR, CRIMINAL, ,STICE DIVISION <br />PERSONNEL <br />SCHEDULE A <br />(Refer to page 25 of the 1999 Plan.) <br />1. DIRECT SALARIES <br />(1) <br />(2) <br />(3) <br />(4) <br />Title or Position' <br />% of <br />Time' <br />CJD Funds <br />Cash Match <br />In -kind <br />Match <br />(VOLUNTEERS) <br />TOTAL' <br />Juvenile Officer /Juvnile <br />(A) <br />1 0 <br />$ 8 491 <br />$ 22 108 <br />$ 0 <br />$ 30,599 <br />(B) <br />Insurance Life & Health <br />( ) <br />215.0 <br />@ <br />0 <br />3,300 <br />0 <br />39300 <br />Workers' Compensation <br />@2.58% <br />0 <br />789 <br />''; 0: <br />(D) <br />Unemployment Insurance' <br />@1.5% <br />0 <br />135 <br />`' 0.. <br />(E) <br />Other (Explain) <br />:` S <br />(F) <br />(G) <br />TOTAL FRINGE BENEFITS <br />$ 0 <br />$ 9,444 <br />70 0 <br />(H) <br />(1) Volunteers <br />TOTAL DIRECT SALARIES <br />$ 85491 <br />$ 225108 <br />1 $ 0 <br />Is 305599 <br />2. FRINGE BENEFITS <br />TOTAL PERSONNEL BUDGET $ 8,491 1 $ 31,552 $ 0 $ 40,043 <br />All applicants must submit a staff organizational chart for their project that shows both grant -paid and non grant -paid <br />personnel. If a staff member is paid partially from CJD funds, then attach a note explaining from what sources the remainder <br />of the salary is paid. <br />' Include only one position per line. Attach a description of each position that lists the name of the employing agency, the <br />duties or responsibilities, and the required qualifications (degree, license, etc.) for each position. <br />' Express as a percent of total time. Must be at least 25 %. (40 hours per week equals 100 %) <br />3. Should reflect employee's gross salary attributable to the project. If applying for continuation funding, justify <br />any salary increase over the previous year. <br />4 Unemployment insurance is calculated on the first $9,000 of each salary. <br />Financial Officer Initials <br />CJD -15 Issued: September, 1997 <br />% or <br />$ Rate <br />CJD Funds <br />Cash Match <br />In -kind <br />Match <br />TOTAL <br />FICA & Medicare <br />@7':65% <br />$ 0 <br />$ 2,341 <br />- ; :0 <br />$ 2,341 <br />Retirement <br />@9.41% <br />0 <br />29819 <br />': 0 .: <br />29879 <br />Insurance Life & Health <br />( ) <br />215.0 <br />@ <br />0 <br />3,300 <br />0 <br />39300 <br />Workers' Compensation <br />@2.58% <br />0 <br />789 <br />''; 0: <br />789 <br />Unemployment Insurance' <br />@1.5% <br />0 <br />135 <br />`' 0.. <br />135 <br />Other (Explain) <br />TOTAL FRINGE BENEFITS <br />$ 0 <br />$ 9,444 <br />70 0 <br />$ 9,444 <br />TOTAL PERSONNEL BUDGET $ 8,491 1 $ 31,552 $ 0 $ 40,043 <br />All applicants must submit a staff organizational chart for their project that shows both grant -paid and non grant -paid <br />personnel. If a staff member is paid partially from CJD funds, then attach a note explaining from what sources the remainder <br />of the salary is paid. <br />' Include only one position per line. Attach a description of each position that lists the name of the employing agency, the <br />duties or responsibilities, and the required qualifications (degree, license, etc.) for each position. <br />' Express as a percent of total time. Must be at least 25 %. (40 hours per week equals 100 %) <br />3. Should reflect employee's gross salary attributable to the project. If applying for continuation funding, justify <br />any salary increase over the previous year. <br />4 Unemployment insurance is calculated on the first $9,000 of each salary. <br />Financial Officer Initials <br />CJD -15 Issued: September, 1997 <br />