Laserfiche WebLink
Edit this Header. Tvoe the FAINMIRMIL8.0d 111511filiffind the for whom it is being completed. The page # is already set at the bottom <br /> right <br /> of every page. <br /> PROGRAM COVER PAGE <br /> Organization Name : Catholic Charities <br /> Executive Director: Nancy Monicatti E-mail :Nemonicatti@diocesepb . org <br /> Address : PCS Box 109650 <br /> Telephone : 56 1 = 775 -95 73 <br /> Palm Beach Gardens FL 33410 Fax : 561 -625 -5906 V 14 <br /> Program Director : Tracey Segal E-mail : Samcenterl@bellsouth net <br /> Address : 3650 41St Street Telephone : 772- 770-3039 <br /> Vero3Beach FL 32967 Fax : 772 -567-0812 <br /> Program Title : Samaritan Center for Homeless Families <br /> _ Priority Need Area Addressed: The promotion and_ devel-opment of family values and family structure <br /> and the promotion of healthy individuals . <br /> Brief Description of the Program : The Samaritan Center residential facility for homeless families is a <br /> long-term, transitional program focusing on "Life skills development" (parenting, budgeting, and <br /> education) with the primary goal being the promotion and development of healthy family values and <br /> family structure leading to the successful re-entry into mainstream society. <br /> SUMMARY REPORT — (Enter Information In The Black Cells Only) <br /> FountpRcquested from Funder for 2009 / 10 : $ 60 , 506 . 77 <br /> osed Program Budget for 2009 / 10 : $ 669 , 0494Total Program Budget : <br /> gram Funding ( 2009 / 10 : 9 . 0 % <br /> ) $ 40 , 000 <br /> Dollar increase / ( decrease ) in request : $ 20 , 507 <br /> Percent increase / ( decrease ) in ' request * * 51 . 3 % <br /> Unduplicated Number of Children to be served Individually : 51 <br /> Unduplicated Number of Adults to be served Individually : 26 <br /> Unduplicated Number to be served via Group settings : <br /> Total Program Cost per Client : 8689 . 28 <br /> * *If request increased 5 % or more, briefly explain why : Last year we asked for partial funding of three <br /> positions, but did not receive full funding• therefore we have requested the full amount again this year. <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 applic n on (date). <br /> -1) 1ASE -Z% LMnyn t t :E2 - <br /> Name of President/Chair of the Board gnature <br /> -t At,) <br /> Name of Executive Director/CPO Signat <br /> 2 <br />