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PERSONNEL <br />Please draft your budget based on the allocation provided to you by your grant manager. <br />The STOP Staff Certification Form is to be completed for new staff charging to the STOP Grant. Also, please <br />resubmit a copy of the form with this application for staff previously verified. <br />Salaries: List each staff name and position (or title), including supervision and financial staff, that will be billed to the STOP <br />Grant. Show the annual salary rate and full-time equivalent (FTE) of position to be funded with this STOP Grant. Staff listed <br />in salaries must maintain time -keeping records that reflect actual effort. If you have a Federally -Approved Indirect Cost <br />Rate Agreement or use a Modified Total Direct Costs method, there is a separate budget worksheet for these. <br />PROJECT EMPLOYEE NAME & <br />TITLE <br />FTE FOR POSITION <br />COMPUTATION OF ANNUAL <br />SALARY RATE & FTE <br />AMOUNT TO BE <br />CHARGED TO GRANT <br />Direct Services <br />Administrative <br />Name, Advocate <br />.20 <br />$40,000 x 20% <br />$8,000 <br />Name, Supervisor <br />.05 <br />.05 <br />$60,000 x 10% <br />$6, 000 <br />Name, Bookkeeper <br />.03 <br />$50,000x3% <br />$1,500 <br />Tracey Landry, Program Manager <br />0.00 <br />0.00 <br />Ave hrs per Yr = $48.66/hr x 26.5 <br />$1 289 <br />Amanda Harper, Administrative Coordinator <br />0.00 <br />0.00 <br />Ave hrs per yr = $33.45/hr x 25.6 <br />$856 <br />Karen White, Captain <br />0.00 <br />0.00 <br />Ave hrs per yr = 75.50/hr x 10 <br />$755 <br />TOTAL SALARIES <br />$2,900 <br />Benefits: Must be for the employee(s) named in salaries. Benefits should be based on actual known costs or an <br />established formula. <br />PROJECT EMPLOYEE NAME & TITLE <br />N/A <br />ITEM AND COMPUTATION <br />TOTAL BENEFITS <br />AMOUNT TO BE CHARGED TO GRANT <br />$o <br />Please use the space below to provide a narrative on the activities to be completed by the staff listed above: <br />The activities completed by the staff listed will be, attending CCRT meeting, grant management and compliance, reports <br />processing and reimbursement. <br />WA State STOP Formula Grant Program Renewal Application for FFY 2021 <br />6 <br />