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Children's Home Society of Florida, Teen Life Choices Program <br />Children's Services Advisory Committee of Indian River County <br />PROGRAM COVER PAGE <br />Organization Name: Children's' Home Society of Florida, Treasure Coast Division <br />Executive Director: Sabrina Barnes <br />Address: 650 10th Street <br />Vero Beach, FL 32960 <br />Program Director: Matthew Anderson <br />Address: 2102 NW Avenue Q <br />Ft. Pierce, FL 34950 <br />E-mail:Sabrina.Barnes@chsfl.org <br />Telephone: 772-344-4020 <br />Fax: 772-344-4038 <br />E-mail: Matthew.Anderson@chsfl.org <br />Telephone: 772-429-2009 <br />Fax: 772-429-2008 <br />Program Title: Teen Life Choices <br />Priority Need Area Addressed: # 4 Middle and High School programs that address risky behavior <br />Brief Description of the Program: Teen Life Choices (TLC) targets prevention of teen and pre -teen <br />pregnancy and the promotion of healthy lifestyles in the group setting. Abstinence based programs are <br />used in the middle schools to help students develop skills to resist pressures to become sexually active. <br />Students participate in role-play to practice assertiveness techniques. Parents are involved in a take <br />home assignment intended to open lines of communication. High school teens explore the potential <br />physical, fmancial, emotional, and social consequences of teen parenthood through the "Baby Think - <br />It -Over" program (BTIO). Other life skills topics focused on healthy lifestyles and decision making <br />(such as self-esteem, anger management, assertiveness, and conflict resolution) are presented in <br />schools, churches, and community groups. <br />SUMMARY REPORT — (Enter Information In The Black Cells Onl <br />Amount Requested from Funder for 2013/14: <br />$ <br />30,000.00 <br />Total Proposed Program Budget for 2013/14: <br />$ <br />50,000.00 <br />Percent of Total Program Budget• <br />60.0% <br />Current Program Funding (2013/14)• <br />Dollar increase/(decrease) in request <br />$ <br />30,000 <br />Percent increase/(decrease) in request **. <br />#DIV/0! <br />Unduplicated Number of Children to be served Individually: <br />- <br />Unduplicated Number of Adults to be served Individually: <br />- <br />Unduplicated Number to be served via Group settings: <br />500 <br />Total Program Cost per Client: <br />100.00 <br />**If request increased 5% or more, briefly explain why: This is a new program that has <br />never received funding from CSAC of IRC. <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) 4/28/2015 <br />Dale F. Jacobs <br />Name of President/Chair of the Board <br />Sabrina Barnes <br />tau p, <br />Signature <br />Name of Executive Director/CPO Signature <br />2 <br />