Program or Project Budget Worksheet
Organization's Name:
Program Name:
Revenue (pending & secured) Total Support/Revenue
Mark with an X if
funding is secured
Requested Grant from Brown County Crime Prevention
Funding Board (Equals * below )
Individual contributions
Government grants/contracts
United Way
Foundation/Corporate grants (please list)
1)
2)
3)
4)
Earned Income: Sales
Earned Income: Program Fees
Membership dues
Fundraising/Special Events
Investment income
Miscellaneous (please list )
1)
2)
3)
In-kind support
Total Support/Revenue 0
Expenses Total Expenses
Salaries & benefits of provider staff
Professional fees (contract, consultant)
Evaluation
Supplies (consumable)
Marketing, printing & postage
Equipment purchases
Occupancy (rent, utilities, etc.)
Phone
Travel
Training
Miscellaneous (please list )
1)
2)
In-kind expenses (n/a if expenses are net of in-kind support)
Total Expenses 0 *
Surplus (deficit) [Revenue-Expenses] 0
0
Expenses Covered by
Requested Grant