LA Works Main Logo Log Off of the System
Incumbent Worker Training Program - Customized Training
User: SampleUser · TP: LWC Sample Training Co.
Empr: Sample C.E. Test Co. · Application #: Sample

ADMINISTRATIVE COST ENTRY / CONTRIBUTION / SUMMARY SHEET

NOTE: With the exception of the Administrative Costs Employer Contribution Section, this form is automatically calculated and filled in for you.

Employer
 Contribution 
Amount		Amount
of Funding
 Requested 		 Total 
Cost=
Employer Contribution +
Total Funding Requested
 Course Costs - PUBLIC$0.00 $0.00 $0.00 
 Course Costs - PRIVATE$700.00 $5,300.00 $6,000.00 
 Course Costs - VENDOR$300.00 $1,700.00 $2,000.00 

TOTAL COURSE COSTS 

  $1,000.00    $7,000.00    $8,000.00 
 Materials & Supplies$1,000.00 $4,000.00 $5,000.00 
 Equipment/Furniture/Classroom Fixtures$500.00 $7,000.00 $7,500.00 
 Travel-Lodging/Meals/Mileage (Trainees/Instructors)$500.00 $3,000.00 $3,500.00 
 Facility Rental$2,000.00 $4,000.00 $6,000.00 

TOTAL PROGRAM COSTS 

           
 ADMINISTRATIVE COSTS ALLOWABLE
 (Funding Requested Limited to 10%* of Total Program Costs Requested)		      

GRAND TOTALS

           
* Cumulative Administrative Costs shall not exceed 10% of the Total Cumulative Program Costs Expenditures.
   Upon receipt of each invoice, LWC will reimburse only the 10% limit. It is the responsibility of training provider
   coordinators to ensure that this limit is not exceeded.
 

Back to Sample Application Menu

Click here to close this window.