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CHILDREN ' S HOME SOCIETY INDEPENDENT LIVING <br /> INDIAN RIVER COUNTY CHILDREN 'S SERVICES ADVISORY COMMITTEE <br /> PROGRAM COVER PAGE <br /> Organization Name : CHILDREN ' S HOME SOCIETY <br /> Executive Director : John Bruhn Email : john. bruhngchsfl . org <br /> Address : 415 Avenue A, Suite 101 Telephone : (772) 489 - 5601 ext. 239 <br /> Fort Pierce FL 34950 Fax : (772) 489-0243 <br /> Program Director : Kathy Rossini Email : kathy. rossinigchsfl . org_ <br /> Address : 415 Avenue A, Suite 101 Telephone : (772) 489 -5601 ext. 207 <br /> Fort Pierce FL 34950 Fax : (772 ) 489- 0243 <br /> Program Title : INDEPENDENT LIVING <br /> Priority Need Area Addressed: Mental Wellness Issues • Ages 13 - 15 Promoting life skills <br /> training emotional- social skills ; Ages 16- 18 Promoting Inde endent living skills <br /> Brief Description of the Program : Taxonomy Statement : Emancipation Preparation <br /> Programs—PH-620 . 190 : Programs that offer training which focuses on the knowledge and skills <br /> an individual may need to make a successful transition to independent living In order to be <br /> eligible for Independent Living program services a child must be between the ages of 13 and 18 <br /> At the age of 18 , the young adult may receive independent living services through After Care <br /> Transition Support or Road to Independence Scholarship up to the age of 23 if.they meet <br /> program criteria. Training may address educational planning, job search and retention <br /> maintaining stable housing money management home management emergency safety skills <br /> knowledge of community resources and interpersonal skills <br /> Amount Requested from Funder for 2003 /04 : $ 21 , 112 <br /> Total Proposed Program Budget for 2003 /04 : $ 201 , 112 <br /> Percent of Total Program Budget : 10 . 5 % <br /> Current Funding ( 2002 /03 ) : $ 20 , 000 <br /> Dollar increase/( decrease ) in request : $ IJ 12 <br /> Percent increase /( decrease ) in request : 5 . 6 % <br /> Unduplicated Number of Children to be served Individually : 19 <br /> Unduplicated Number of Adults to be served Individually : 4 <br /> Unduplicated Number to be served via Group settings : _ <br /> Total Program Cost per Client : 8744 . 00 <br /> Will these funds be used to match another source ? NO <br /> If yes , name the source : <br /> Amount : $ - <br /> The Organization 's Board of Directors has approved this application on (date.). <br /> Name of President/Chair of the Board Signa e <br /> r .� <br /> Name of Executive Director/CEO Sig ure <br /> 3 <br />