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BUDGET WORKSHEET

Please realistically complete this budget worksheet in it's entirety. You


should consider costs as stated in the Placement Information Sheet or based on your own arrangements. ***PLEASE NOTE
THAT THE NUMBER OF DAYS FOR THE FIRST AND LAST MONTH WILL DEPEND ON YOUR MOVE IN AND MOVE OUT DATE
MONTH ONE MONTH TWO MONTH THREE MONTH FOUR TOTAL
INCOME - ENTER YOUR HOURLY RATE BASED ON YOUR JOB OFFER
WAGES/HOUR (copy wage from job offer) $ $ $ $
MINIMUM HOURS PER WEEK (DO NOT ADJUST THIS) 32 32 32 32
NUMBER OF WEEKS IN MONTH
INCOME TOTALS #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
EXPENSES - ENTER YOUR MONTHLY EXPENSES
HOUSING
RENT COST PER WEEK (average cost $95 - $200)
NUMBER OF DAYS IN MONTH
UTILITIES (if not included in rent, average cost $50 - $100)
TOTALS $0.00 $0.00 $0.00 $0.00 $0.00
DAILY LIVING
CELL PHONE (REQUIRED! AVERAGE PLAN COSTS $40)
GROCERIES (MUST CONSIDER A MINIMUM OF $150)
DINING OUT (average cost $10 - $200)
TOILETRIES/PHARMACY (average cost $30 - $50)
TOTALS $0.00 $0.00 $0.00 $0.00 $0.00
TRANSPORTATION
PUBLIC TRANSPORTATION PER MONTH (average cost $50)
OTHER (BIKE, TAXI, UBER) (average $50 - $100)
TOTALS $0.00 $0.00 $0.00 $0.00 $0.00
CULTURAL ACTIVITIES / TRAVEL
MOVIES, MUSEUMS, SPORTS, ETC (average $50)
PLANE/TRAIN/BUS/RENTAL CAR (average $100 - $600)
ACCOMODATION (average two nights away $100 - $200)
SOUVENIERS (average $10 - $50)
TOTALS $0.00 $0.00 $0.00 $0.00 $0.00
TAXES
TAXES 10.00% 10.00% 10.00% 10.00%
TOTALS #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
TOTAL ESTIMATED EXPENSES #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
CASH SHORT/EXTRA #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
I understand that this personal budget indicates the minimum income I should expect to receive as well as the anticipated expenses and taxes that I will be expected to
pay. I acknowledge that it is my responsibility to complete the remaining sections of this worksheet to plan for my daily living expenses and determine any additional
monies I need to bring with me over the program required $1,000 to compensate for any possible shortage.

PARTICIPANT NAME: PARTICIPANT SIGNATURE: DATE:

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