BUDGET TEMPLATE

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APHA Affiliate Capacity-Building Initiative Budget Template [INSERT AFFILIATE NAME] Total Requested Budget [INSERT PROPOSED AMOUNT] for [INSERT REQUESTED TIME FRAME] Year 1 Budget 10/1/07 - 9/30/08 Year 2 Budget In-kind 10/1/08 - 9/30/09 Year 3 Budget In-kind 10/1/09 - 9/30/10 Year 4 Budget In-kind 10/1/10 - 2/28/11 In-kind Total Budget Line Items $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Total In-Kind $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Grand Total Budget - PERSONNEL Salary Fringe OTHER DIRECT COST Office Space or Equivalent Operations Communications/Marketing Liability insurance Supplies Equipment Payroll/accounting services Travel (including APHA meetings) Meeting Expenses $ - PURCHASED SERVICES Consultants Contracts TOTAL $ - $ - $ - $ - $ - $ - $ - $ - *Please estimate the total proposed budgeted amounts allocated for the Priority Areas for over the course of the grant. Total Percentage Organization Development Leadership Development Programs Community Engagement Total Budget Allocation

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