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ORGANIZATION: GIFFORD YOUTH ACTIVITY CENTER/MENTAL HEALTH ASSOCIATION <br /> PROGRAM: MENTAL HEALTH SERVICES FOR CHILDREN & FAMILIES <br /> FUNDER: CHILDREN 'S SERVICES ADVISORY COMMITTEE <br /> ORGANIZATION: Gifford Youth Activity Center <br /> PROGRAM: Mental Health Services for Children & Families <br /> TABLE OF CONTENTS <br /> Please "X" the parts of the grant application to indicate that they are included. Also, please put the page number where the information <br /> can be located. <br /> X Section of the Proposal Pa e # <br /> TABLE OF CONTENTS (check list) 1 <br /> X COVER PAGE (with signatures). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 <br /> X A, ORGANIZATION CAPABILITY (one page maximum) 4 <br /> X 1 . Mission and Vision of organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 <br /> X 2. Summary of expertise, accomplishments, and population served . . . . . . . . . . . . . . . . 4 <br /> X B. PROGRAM NEED STATEMENT (one page maximum) 5 <br /> X 1 . Program Need Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . 5 <br /> X 2. Programs that address need and gaps in service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 <br /> X C, PROGRAM DESCRIPTION (two pages maximum) 6 <br /> X1 . Funding priority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . 6 <br /> X 2 . Description of program activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 . . . . . . . 6 <br /> X 3 . Evidence that program strategy will work. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 <br /> X4. Staffing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. 4 . . . . . . . . . . . 7 <br /> X 5 . Awareness of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 . . . <br />. . . 7 <br /> X 6 . Accessibility of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . 4 . . . . . . . . . . . . . . . . . . . . <br />. . . 7 <br /> X D. MEASURABLE OUTCOMES (two pages maximum) . . . . . . . . . . . . 4 . . . . . . . . . . . . 8 <br /> X E, COLLABORATION (one page maximum) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 <br /> X F. PROGRAM EVALUATION (two pages maximum) 10 <br /> X1 . Demographics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . 10 <br /> X2 . Measures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . 10 <br /> X3 . Reporting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . 11 <br /> X G. TIMETABLE (one page maximum) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 <br /> X H, UNDUPLICATED CLIENT COUNT 13 <br /> X 1 . Projections by Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . 13 <br /> X 2. Projections by Age Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 . . . . . . . . . . <br /> 13 <br /> X 1. BUDGET FORMS 14 <br /> 1 <br />