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Catholic Charities of The Diocese of Palm Beach <br /> Samaritan Center <br /> PROGRAM COVER PAGE <br /> Organization Name : Error ! Not a valid link. <br /> Executive, Director: Thomas A . Bila, PhD E-mail :tbilaAdiocesepb . org <br /> Address : 9995 N. Military Trail P O Box f 09650 Telephone : 561 -775 - 9561 <br /> Palm Beach Gardens , Fl . 33410-9650 Fax : 561 -625-5906 <br /> Program Director: Joyce Wild E-mail : samaritancenterl@yahoo . com <br /> Address : 3650 41St Street Telephone : 772-770-3039 <br /> Vero Beach, Fl . 32960 _ Fax : 772-567- 0812 <br /> : Program Title:= Tlie` Samaritan Center <br /> The Priority needs that we address are : 1 ) Mental Wellness Issues and 2) Parental Support and <br /> Education. <br /> Brief Description of the Program : Homeless Shelter — BH- 180 . 850 Program that provides a <br /> temporary place to stay for people who have no permanent housing. Child Abuse Prevention — FN- <br /> 150 . 190 . 15 — Programs, often offered in the schools or in other community settings, which attempt to <br /> protect children from physical, sexual and / or emotional abuse or exploitation through a variety of <br /> educational interventions which may focus on children of various ages, parents, people who work with <br /> children and / or parents regarding ways of avoiding or handling an abusive situation and/or <br /> information about the indicators and incidence of abuse, requirements for reporting abuse and <br /> community resources that are available to children who have been abused and to their families . <br /> SUMMARY REPORT — (Enter Information In . The Black Cells Only) <br /> ` A " dqu"esfed`�.from ''Funder for2004/OS ". <br /> $ ` 66 , 836 . 41 <br /> Total Proposed Program Budget for 2004 / 05 : $ 6092354 . 23 <br /> Percent of Total Program Budget : 11 . 0 % <br /> Current Program Funding ( 2003 / 04 ) : $ 50 , 000 <br /> Dollar increase / ( decrease ) in request : $ 162836 <br /> Percent increase / ( decrease ) in request * * : 33 . 7 % <br /> Unduplicated Number of Children to be served Individually : 42 <br /> Unduplicated Number of Adults to be served Individually : 23 <br /> Unduplicated Number to be served via Group settings : _ <br /> Total Program Cost per Client : 9374 . 68 <br /> * *If request increased 5 % or more, briefly explain why : The cost of health insurance, a consultant <br /> and related payroll costs are the predominant factors for the above increase request <br /> If these funds are being used to match another source, name the source and the $ amount : <br /> The Organization 's Board of Directors has approved this applicat non (date) . <br /> ev e4 or L4 Z <br /> Name of Pr sident/Chair of the B rd Signa <br /> 17 21°li1G( �S t' G � <br /> arae of Executive Director/CEO ignature <br /> 3 <br />