Appendix C | Checklist

Sample Budget for Application to CNN.  Summary must include income and expenses. Application cannot be considered without one.

Name of Program
Income	Fees Donations (list donors) Grants (list grantors) Total:	$ $ $ $
Expenses	Salaries/Benefits Supplies Food Excursions Utilities Professional Development Administration Total:	$ $ $ $ $ $ $ $
Amount requested from CNN $ Per Year		$