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2003-253T
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2003-253T
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Last modified
11/22/2016 1:07:57 PM
Creation date
9/30/2015 6:56:02 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Report
Approved Date
09/23/2003
Control Number
2003-253T.
Agenda Item Number
7.O.
Entity Name
Substance Abuse Council of IRC
Subject
Continuation of Exhibit A for all three contracts
Financial Statements with Auditors Report.
Archived Roll/Disk#
3207
Supplemental fields
SmeadsoftID
3429
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Substance Abuse Council of Indian River County Life Skills Training Program Children 's Services Advisory Committee <br /> ORGANIZATION : Substance Abuse Council of Indian River County <br /> PROGRAM : Life Skills Training Program <br /> TABLE OF CONTENTS <br /> Please "X" the parts of the grant application to indicate they are included. Also, please put the page number where the information <br /> can be located. <br /> X Section of the Proposal Page # <br /> TABLE OF CONTENTS (Check list) <br /> COVER PAGE (with signatures) , 3 <br /> A. ORGANIZATION CAPABILITY (one page maximum) <br /> 1 . Mission and Vision of organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . 4 <br /> 2 . Summary of expertise, accomplishments , and population served . . . . . . . . . . . . . . . . 4 <br /> B. PROGRAM NEED STATEMENT (one page maximum) <br /> 1 . Program Need Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . 5 <br /> 2 . Programs that address need and gaps in service . . 0 0 0 goo 0 09 0 of 0 0 0 so 0 00 9 90 0 of a 00 0 000 5 <br /> C. PROGRAM DESCRIPTION (two pages maximum) <br /> 1 . Funding priority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 <br /> 2 . Description of program activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . 6 <br /> 3 . Evidence that program strategy will work . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . 0 7 <br /> 4 . Staffing . . . . a so * * * * * * * so 6 a * * so * , , * , , a of 0 00 100 # 00 0 * a 0 # 4 890 0004 00048 <br /> * as 00004 7 <br /> 5 . Awareness of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . 7 <br /> 6 . Accessibility of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . 0 7 <br /> D. MEASURABLE OUTCOMES (two pages maximum) . , . . 0049 fee@ * $ * 49999 # 4600 8-9 <br /> E. COLLABORATION (one page maximum) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 0 0 0 8 . 0690 <br /> 10 <br /> F. PROGRAM EVALUATION (two pages maximum) <br /> 1 . Demographics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 <br /> 2 . Measures . . . . a a * 0 , 0 a a 0 6 0 0 a d 0 0 0 0 a a 11 <br /> 3 . Reporting . a . . . . a . . . * ago * , * * . . . . 0 0 . . . . . a a ' . 0 0 , 0 0 0 0 a 0 0 0 <br />0 , 0 V 0 0 0 0 , 0 , 0 9 0 0 0 t 9 go 12 <br /> G. TIMETABLE (one page maximum) 13 <br /> H. UNDUPLICATED CLIENT COUNT <br /> 1 . Projections by Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . . . . <br />. . . . . . . . . . . . . . . . . . . . . . 14 <br /> 2 . Projections by Age Group . . . . . . . . , ' , , , 14 <br /> I. BUDGET FORMS <br /> 1 . Budget Narrative Worksheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 00 0000 <br /> 6 . 0 . . . . . . . . 15 <br /> 2 . Total Agency Budget . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . 19 <br /> 1 <br />
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