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7 Organization : Indian River County Healthy Start Coalition, Inc. Pro <br /> Funder: IRC Board of County Commissioners — Children 's Services Advisory Committee 2004 Grant Newborn Application <br /> PROGRAM COVER PAGE <br /> Organization Name: Indian River County Healthy Start Coalition Inc <br /> Executive Director: D. Scott Joseph M S Email * irchscQaol .com <br /> Address : 1603 10th Avenue Telephone: (772) 563 -9118 <br /> Vero Beach FL 32960 Fax: (772) 563 -9125 <br /> i; �X . Program Director. : Nancv McClain Email: Nancy McClainQdoh state fl us <br /> Address: IRC Health Department Telephone: (7721797534 At <br /> 196027th Street Vero Beach FL 32960 Fax: (7721794-7453 <br /> °. r � y6 �� � j.�.�t err �` +•s � n. .,� +. ° n�> 1 e s <br /> ���. <br /> f <br /> t <br /> i y.. <br /> a r : <br /> Program Title: TLC Newborn Pro <br /> `Y+ Priority Need Areas) Addressed : Parenting Support and Education as well as Mental Wellness <br /> Brief Description of the Program : The TLC Program falls under two taxonomies • PH 610180 <br /> Expectant/New Parent Assistance which provides services and education for new parents to prepare <br /> the fo"><'`emotionaiand ractical ,... . :. . : . . <br /> D �aSDectS O p <br /> >' an topromote bonding and nurturingof the p <br /> n �' • = 9'F' ' Ls. , • - M`,�izi + x <br /> U , newborPH-620. 150 = Commumcahon Trauun helm arents communicate vvrth clul health <br /> e <br /> on <br /> o er parent/u�ant mterac on slabs ocusm on positive Growth and development. <br /> The universal TLC (Touch, Love Communicate) Newborn Promm focuses parent education infant <br /> health care informatioIIIIIIIn, bonding advice brain development activities <br /> Amount Requested from Funder for 2004 /05 , $ 15 , 000 . 00 <br /> Total Proposed Program Budget for 2004 /05 : $ 73 , 500 . 00 <br /> Percent of Total Program Budget : 20 .4 % <br /> Current Funding (2003 /04 ) : $ 15 ,000 <br /> Dollar increase/( decrease ) in request : <br /> Percent increase/(decrease )` in request , <br /> * * • 0 0 % 11 <br /> UnduplicatedWumber of Children to be . served . Individually: 11,217 <br /> '217 <br /> Y <br /> ill "Undupl><ea ed <br /> -1iin er of Adults * to be served Individually : i; 925It 11 <br /> s UnduplicatedNi tuber to be served viarGroup settings _ <br /> � % <br /> ' Total Program Cost per Client <br /> 34 . 31 <br /> Does not include fathers in count <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 /> 1 Yes (partial) United Way of IRC ($55 ,000000) <br /> The Organization 'sBoard of Directors has approved this applica on (date). S/26/04 <br /> Jean Anderson <br /> Name of President/Chair of the Board ` ' lgnatiue <br /> Jr =J 1 <br /> D Scott Jos hit <br /> Itb . <br /> Name of Executtve ctor/CEO <br /> Dire <br /> a s: yf t '.s '< ° rrz r ^ i Signature yY�. ti y ; ,.^ 5re " i .d_ '' H ' � <br /> s „S , c �. k '•. <br /> 1 . <br /> Nki <br /> + : <br /> It <br /> ' r °a <br /> ff ` <br /> f�� r <br /> j <br /> ib <br />