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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 <br />Address: PO Box 109650 <br />Palm Beach Gardens, FL 33410 <br />Program Director: Tracey Segal <br />Address: 3650 41st Street <br />Vero Beach, FL 32967 <br />E-mail: sgomez(aiidiocesepb.org <br />Telephone:561-775-9573 <br />Fax: 561-625-5906 <br />E-mail: samcenter 1(abellsouth.net <br />Telephone: 772-770-3039 <br />Fax: 772-567-0812 <br />Program Title: The Samaritan Center for Homeless Families <br />Priority Need Area Addressed: Parenting education for current and expectant parents to increase the <br />likelihood of positive outcomes. <br />Brief Description of the Program: The Catholic Charities' Samaritan Center residential facility for <br />homeless families is a long-term, transitional program focusing on "Life skills development" <br />(parenting, budgeting, and education) with the primary goal being the promotion and development of <br />healthy family values and family structure leading to the successful re-entry into mainstream society. <br />Taxonomy Definition YM -8500: Transitional housing/Shelter Residents. <br />SUMMARY REPORT — (Enter Information In The Black Cells Only) <br />Am ount Requested from Funder for 2014/1 5: <br />Total Proposed Program Budget for 2014/15: • <br />Percent of Total Program B udget: <br />$ <br />$ <br />27,000.00 <br />633,200.00 <br />4.3% <br />Current Program Funding (2013/14): <br />$ <br />26,000 <br />Dollar increase/(decrease) in request: <br />$ <br />1,000 <br />P ercen t increase/(decreas e) in request * *: <br />3 .8% <br />Unduplicated Number of Children to be served Individually: <br />57 <br />Unduplicated Number of Adults to be served Individually: <br />31 <br />Unduplicated Num ber to be served via Group settings: <br />- <br />Total Program Cost per Client: <br />71 95.45 <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 $ amount: N/A <br />The Organization's Board of Directors has approved this application on (date). <br />Eu3-ef F l I,‘9sc,,_ ( �r <br />Name of President/Chair of the Board <br />Ste/L.4 f t;;;W'CL <br />Name of Executive Director/CPO Signa ure <br />Sig <br />lebb I 11-1 <br />2 <br />