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Catholic Charities — Samaritan Center — IRC CSAC <br />PROGRAM COVER PAGE <br />Organization Name: Catholic Charities of the Diocese of Palm Beach <br />Executive Director: Shelia Gomez E-mail: sgomezna diocesepb.org <br />Address: PO Box 109650 Telephone: 561-775-9573 <br />Palm Beach Gardens, FL 33410 Fax: 561-625-5906 <br />Program Director: Tracey Segal 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: Build Parent Capacity <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. Taxonomy Definition YM - <br />8500: Transitional Housing/Shelter Residents. <br />SUMMARY REPORT — (Enter Information In The Black Cells Only) <br />Amount Requested from Funder for 2015/16: <br />Total Proposed Program Budget for 201 5/16: <br />Percent of Total Program B udget: <br />$ <br />$ <br />27,700.00 <br />5 71 ,935.00 <br />4.8% <br />C urrent Program Funding (20 14/15): <br />$ <br />26,000 <br />Dollar increase/(decrease) in request: <br />$ <br />1,700 <br />Percent increase/(decrease) in request **: <br />6 5% <br />Unduplicated Num ber of Children to be served Individually: <br />47 <br />Unduplicated Num ber of Adults to be served Individually: <br />21 <br />Unduplicated Number to be served via Group settings: <br />- <br />Total Program C ost per Client: <br />84 10.8 1 <br />**If request increased 5% or more, briefly explain why: Samaritan Center is requesting additional <br />funding to purchase new parenting curriculum (The Love and Logic Way). This curriculum would <br />replace the existing curriculum that is being used. <br />If these funds are being used to match another source, name the source and the $ amount: N/A <br />The Organization's Board of Directors has approved this application on (date). 4/30/15 <br />Very Rev. Thomas Barrett <br />Name of President/Chair of the Board <br />Sheila Gomez <br />Name of Executive Director/CPO Sig ature <br />2 <br />