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��ll�lte�.. ?��1�a. ,G��t�r _tnd,,a.�, a�ei.�a.�t�� .��l�r�a�s, e.�i✓���d �o ��? utt� <br /> PROGRAM COVER PAGE <br /> Organization Name : Catholic Charities of the Diocese of Palm Beach <br /> Executive Director : Shelia Gomez E-mail : sgomez(a� diocesepb ori <br /> Address : PO Box 109650 Telephone : 561 - 775 . 9573 <br /> Palm Beach Gardens FL 33410 Fax : 561 - 625 - 5906 <br /> Program Director : Tracey IIISegal E-mail : samcenterl na bellsouth net <br /> Address : 3650 41St Street Telephone : 772 - 770 -3039 <br /> Vero Beach FL 32967 Fax : 772 -567- 0812 <br /> Program Title : The Samaritan Center for Homeless Families <br /> Priority Need Area Addressed: The promotion and development of family values and family structure <br /> and the promotion of healthy individuals . <br /> Brief Description of the Program : The Samaritan Center residential facility for homeless families is a <br /> long-term , transitional program focusing on "Life skills development" (parenting budgeting, and <br /> education) with the primary goal being the promotion and development of healthy family values and <br /> family structure leading to the successful re entry into mainstream society <br /> SUMMARY REPORT — (Enter Information In The Black Cells only) <br /> FAmountRequested from Funder for 2011 / 12 : $ 27 , 000 . 00 <br /> posed Program Budget for 2011 / 12 : $ 718 , 364 . 00 <br /> f Total Program Budget : 3 8 % <br /> rogram Funding ( 2011 / 12 ) : $ 26 , 664 <br /> Dollar increase /( decrease ) in request : $ 336 <br /> Percent increase /( decrease ) in request * * 1 . 36 <br /> Unduplicated Number of Children to be served Individually : 66 <br /> Unduplicated Number of Adults to be served Individually : <br /> Unduplicated Number to be served via Group settings : 31 <br /> Total Program Coster Client : 7405 . 81 <br /> * * If request increased 5 % or more, briefly explain why : <br /> If these funds are being used to match another source, name the source and the $ amount : <br /> The Organization 's Board of Directors has approved this application on (date). <br /> William E . Shannon <br /> Name of President/Chair of the Board Sign e <br /> Sheila Gomez <br /> Name of Executive Director/CPO Signature <br /> 2 <br />