Program Allocation Calculation Worksheet - EXAMPLE
The cost of a mentoring/student assistance initiative program depends on the approach the agency takes and the number of
Please circle one:
Service will be provided
during REGULAR SCHOOL
Agency providing one-on-one student hour while school is in
mentoring program YES / NO service for 36 weeks YES / NO
Service will be provided
during AFTER SCHOOL
Agency providing student assistance hour while school is in
program YES / NO service for 36 weeks YES / NO
What type of student assistance program?
Type of service # of Students Note or Comment
# of students receiving one-one one
# of students receiving group student 25 students from one-one mentoring program will be included in
assistance program 100 the student assistance afterschool program
total # of students will be receiving
services allocated for this funding 125
The applicant must calculate the estimated cost per student.
# of Weeks Cost per student How was the cost allocated Total Cost
Cost per student in the 1st 9-weeks $ 479.22 The cost was estimated based on the $ 59,902.50
Cost per student in the 2nd 9-weeks $ 479.22 current program budget operating 180 $ 59,902.50
Cost per student in the 3rd 9-weeks $ 479.22 school days. Each student will receive 2 $ 59,902.50
Cost per student in the 4th 9-weeks $ 479.22 hours of mentoring service during regular $ 59,902.50
school day and participate in the Character
Cost per student for Summer Program
Education afterschool program Monday -
Total Cost of the proposed program $ 239,610.00
The applicant must d itemize the cost for allowable expenditures.
Example ONLY This is NOT DOE101 This form WILL NOT be used as a substitute for DOE101
Salaries: Part-time hourly salary for 6 teachers to provide direct instruction in afterschool. The calculation: 20
hours per week x $25.00 per hour x 32 week x 6 teachers.
Employee Benefits: Retirement: Contributions for the above 6 part-time teachers at 9.85%.
Employee Benefits: Social Security: Contributions for the above 6 part-time teachers at 7.65%.
Employee Benefits: Worker’s Compensation: Contributions for the above 6 part-time teachers at 1.01%.
Computer Hardware: Purchase of computer equipment to be used by students for instructional purposes. The
equipment items will include monitors, CPU’s peripheral devices memory, and 10 laptop computers.
Contractual Service Agreements: Provide funds to XYZ agency as a contract for providing instructional (or non-
instructional) services to eligible and family activities; includes 25 mentors for one-one-one with student during
regular school hour one hour per day, twice per week for 36 weeks. Contract includes 9 instructional aids to assist
the 6 teachers to provide direct instruction in student assistance program afterschool
Travel: Travel will support 2 instructional teachers, and 1 curriculum coordinator to attend the Adult Education
State Conference. Expenditures for costs of transportation, lodging, and meals (state rate) are as follows:
Roundtrip airfare is $400 x 3 persons = $1,200. Two nights lodging @ $90 per night is $180 x 3 persons = $540.
Meals at $36/day for two days is $72 x 3 persons= $216. Total Travel Costs for Conference: $1,956
Total Amount Requested $239,609