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Indian River County Healthy Start Coalition, Inc. TLC Newborn Program <br /> Children's Services Advisory Committee Grant 2007-08 <br /> ORGANIZATION: Indian River County Healthy Start Coalition Inc <br /> PROGRAM: TLC Newborn (Touch, Love Communicate) <br /> 2007/2008 CORE APPLICATION TABLE OF CONTENTS <br /> "X" the parts ofgrant application to indicate inclusion. Also, please put page number where the information can be located. <br /> X Section of the Pro osalPa e # <br /> X TABLE OF CONTENTS (check list). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 <br /> X COVER PAGE (with signatures) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. 2 <br /> A. ORGANIZATION CAPABILITY (one page maximum) <br /> X 1 . Mission and Vision of organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. 3 <br /> X 2. Summary of expertise, accomplishments, and population served . . . . . . . . . . . . . . . . . . . . . . . . . .. 3 <br /> B. PROGRAM NEED STATEMENT (one page maximum) <br /> X1 . Program Need Statement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . <br />.. . .... . . 4 <br /> X 2 . Programs that address need and gaps in service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 <br /> C. PROGRAM DESCRIPTION (two pages maximum) <br /> X1 . Funding priority. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . 5 <br /> X 2 . Description of program activities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . 5 <br /> X 3 . Evidence that program strategy will work. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 <br /> X4. Staffing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . 6 <br /> X 5 . Awareness of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . 6 <br /> X 6. Accessibility of program. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . 6 <br /> D, MEASURABLE OUTCOMES & ACTIVITIES MATRIX (Four outcomes <br /> Xmaximum) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. . . . . . .. . . . . . .. . . . . . . .. . . . .. . . ... . . . . . . . . . . . . . . . . . <br />. . . . .. .. . . . . . .. . . . . . .. . . . . . . . ... . . 7-9 <br /> X E. COLLABORATION (one page maximum) . . . . . . . . . ... . . . .. . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 <br /> F. UNDUPLICATED CLIENTS <br /> X 1 . Projections by Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . 11 <br /> X 2 . Projections by Age Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . .. . 11 <br /> G. BUDGET FORMS <br /> X 1 . Financial Budget Forms Pages BI-B9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 12 <br /> X H. FUNDER SPECIFIC 05-06 Measurable Outcomes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 <br /> I. SUPPORTING DOCUMENTS <br /> Officers & Directors, Financial Audit, HRS 990, Balance Sheet & Budget, Staff <br /> Organizational Chart, 501 (c)3 IRS letter, Articles of Incorporation, Bylaws, <br /> Affirmative Action Plan, Nepotism Statement, Taxonomy Definition, Testing <br /> X Materials <br /> 1 <br />