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'CHILDREN ' S HOME SOCIETY INDEPENDENT LIVING PROGRAM <br /> Indian River County Children ' s Services Advisory Committee <br /> PROGRAM COVER PAGE <br /> Organization Name CHILDREN' S 14(O1VI SOCIETV , . <br /> Executive Director: John Bruhn E-mail : i ohn.bruhnPchsfl . org <br /> Address : 415 Avenue A Telephone : (772)489-5601 <br /> Fort Pierce, Florida 34950 Fax (772) 489-0243 <br /> Program Director: Sandy Pietrewicz, Ph . D . E-mail : sandy.pietrewicz@chsfl . org <br /> Address : 415 Avenue A Telephone : (772)489- 5601 ext 289 <br /> Fort Pierce, Florida 34950 Fax . (772) 489 - 0243 <br /> Program Tit ` vipn'"r <br /> Priority Need Area Addressed: Mental Wellness Issues : Ages 1345 , Promoting life skills training, <br /> emotional-social skills ; Ages 16- 18 , Promoting independent living skills <br /> Brief Description of the Program : Taxonomy Statement: Emancipation Preparation Programs- PH <br /> 620 . 190 : Programs that offer training which focuses on the knowledge and skills an individual may <br /> need to make a successful transition to independent living. In order to be eligible for Independent <br /> Living Program services a child must be between the ages of 13 and 18 . Children 13 - 15 years of age <br /> are provided pre-independent living services, such as life skills training , educational support, <br /> employment training, counseling, relationship building, academic tutoring, and educational outings . <br /> Intensive services are offered to children ages 15 % to 18 . These services include banking and <br /> budgeting, obtaining employment, parenting, academic support, interview skills, counseling, and <br /> relationship building_ At the age of 18 , the young adult may receive case management and other <br /> assistance through Aftercare, Transitional Support, or Road to Independence Scholarship , <br /> SUMMARY REPORT — (Enter Information In The Black Cells Only) <br /> Percent of Total Program Budget : 10 . 0 % <br /> Current Program Funding ( 2003 / 04 ) : $ 209000 <br /> Dollar increase / ( decrease ) in request : $ - <br /> Percent increase / ( decrease ) in request * * 0 . 0 % <br /> Unduplicated Number of Children to be served Individually : 23 <br /> Unduplicated Number of Adults to be served Individually : 1 <br /> Unduplicated Number to be served via Group settings : - <br /> Total Program Cost per Client : 8333 . 33 <br /> * * If request increased 5 % or more, briefly explain why: <br /> If these funds are being used to match another source, name the source and the $ amount : <br /> 3 <br />