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Catholic Charities—Samaritan Center for Homeless Families with Children—IRC CSAC <br /> PROGRAM COVER PAGE <br /> Organization Name: Catholic Charities of the Diocese of Palm Beach <br /> Executive Director: Shelia Gomez E-mail: sggmez(a)diocesepb.org <br /> Address: 9995 N. Military Trail Telephone: 561-775-9573 <br /> Palm Beach Gardens FL 33410 Fax: 561-625-5906 <br /> Program Director: Renee Birele E-mail: rbireleyna ddcpb.org <br /> Address: 3650 415' 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: #2 Building Parent Capacity <br /> Brief Description of the Program: The Samaritan Center residential facility for homeless families is <br /> a 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 L41 <br /> Homeless Shelters - Organizations that provide a temporary place to stay for people who have no <br /> permanent housing <br /> SUMMARY REPORT—(Enter Information In The Black Cells Onl-) _ <br /> Amount Requested from Funder for 2016/17: $ 29,000.00 <br /> Total Proposed Program Budget for 2016/17: $ 667,895.00 <br /> Percent of Total Program Budget: 4.3% <br /> Current Program Funding (2016/17): $ 27,700 <br /> Dollar increase/(decrease) in request: $ 1 ,300 <br /> Percent increase/ decrease in request ** 41 7°n <br /> Unduplicated Number of Children to be served Individually: 45 <br /> Unduplicated Number of Adults to be served Individually: 30 <br /> Unduplicated Number to be served via Gro-up--settings: <br /> Total Program Cost per Client: _ 8905.27 <br /> **If request increased 5% or more,briefly explain why: N/A <br /> If these funds are being used to match another source, name the source and the S amount: N/A <br /> The Organization's Board of Directors has approved this apph all' on(date). Ajord-78 2016 <br /> Very Rev. Thomas Barrett 1020. Q <br /> Name of President/Chair of the Board Sig <br /> Sheila Gomez <br /> Name of Executive Director/CPO Signature <br /> 2 <br />