Template #5:  3-Year Grant Budget Worksheet: Provides outline for planning and articulating a start-up grant over 3 years. Bases budget on student population a facility plan assumptions.  Uses standard NH public school accounting codes. NH Charter School 3-Year Budget               Name of School: _____________________  Date:  __/__/____                   Current Year Subsequent Year 1 Subsequent Year 2 Subsequent Year 3       Fiscal Year 200_ - 0_ Fiscal Year 200_ - 0_ Fiscal Year 200_ - 0_ Fiscal Year 200_ - 0_ 1100    INSTRUCTIONAL SERVICES  1100 112 Salaries, Teachers $ $ $ $ 1100 115 Salaries, Support Staff:Aides/Tutors         1100 122 Substitutes         1100 200  Benefit Programs          1100 591  Contracted Enrichment Programs          1100 610 Supplies          1100 640 Text, Workbooks, Software            642 Distance Learning Courses         1100 733 Furniture & Equipment          1100 734 Computer Equipment & Peripherals              TOTAL  $ $ $ $ 1210    SPECIAL EDUCATION  1210 112  Teacher/Liaison, Special Education   $ $ $ $ 1210 232 Retirement, Anticipated           1210 260 Workers Compensation, Anticipated          1210 397 Contracted Special Services (Other)              TOTAL  $ $ $ $ 1300    VOCATIONAL/CAREER SERVICES  1300 112 Job Counselor $ $ $ $ 1300 300-700 Other Expenses: materials, etc.              TOTAL  $ $ $ $               1400    OTHER INSTRUCTIONAL PROGRAMS  1400 390 Contracted Services, Athletics/PE/Fitness, etc. $ $ $ $ 1400 610 Supplies         1430 100 Summer School         1435 100 Community Service Program         1440 100 Evening Tutorial Program         1450 490 Contracted Instructional Programs              TOTAL  $ $ $ $ 2100    STUDENT SUPPORT SERVICES  2122 370 Testing/Appraisal & Support Services  $ $ $ $ 2122 390 Contract Services, Guidance/Assessment         2122 610 Supplies, etc.              TOTAL  $ $ $ $ 2130    HEALTH SERVICES  2134  390.00  Nurse Services, Contracted  $ $ $ $ 2134 610 Supplies, Health