| Categories | Grant | Local Cost Share - Cash |
Local Cost Share - In Kind |
| Administration (List all persons, titles, hours, and rates of pay) |
$ | $ | $ |
| Presenters & Advisors (List all non-administrative persons and stipends) |
$ | $ | $ |
| Travel & Per Diem (List mileage, airfare, per diem, and hotel.) |
$ | $ | $ |
| Supplies (List each item) |
$ | $ | $ |
| Printing & Postage (List each item) |
$ | $ | $ |
|
Space Rental & Telephone (List both office and meeting space) |
$ | $ | $ |
|
Other (specify) (List all items not included above) |
$ | $ | $ |
| Totals | $ | $ | $ |