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Hibiscus Children Center Crisis Nursery Program Children Services Advisory Committee <br /> PROGRAM COVER PAGE <br /> Organization Name : Hibiscus Childrens Center <br /> Executive Director: Jan S . Huffert E-mail : ishuffertkhcc4kids . org <br /> Address : P . O . Box 305 Telephone : 772 -334- 9311 x 101 <br /> Jensen Beach FL 34958 Fax : 772-334- 1991 <br /> Program Director: Kathryn Garbowski E-mail : kgarbowskikhcc4kids . org_ <br /> Address : P . O . Box 305 Telephone : 772-334-9311 x 708 <br /> Jensen Beach FL 34958 Fax : 772 -334- 1991 <br /> Taxonomy BH-180. 150. 15 <br /> Program Title: Crisis Nursery ,) / <br /> Priority Need Area Addressed: Parental Support Education <br /> Brief Description of the Program : Child abuse and neglect_prevention and crisis intervention <br /> program providing voluntary in-home services to families experiencing crisis (i . e . unemployment, <br /> homelessness domestic violence mental health poverty, etc ) Services may take the form of family <br /> supportaccessing therapeutic services coordinating medical needs improving daily living skills <br /> addressing educational needs and short term respite care for children. <br /> SUMMARY REPORT — (Enter Information In The Black Cells Only) <br /> Amount Requested from Funder for 2005 / 06 : $ 00 . 00 <br /> Total Proposed Program Budget for 2005 / 06 : $ 400 , 423 . 00 <br /> Percent of Total Program Budget : 5 . 0 % <br /> Current Program Funding ( 2003 / 04 ) : $ 20 , 000 <br /> Dollar increase / ( decrease ) in request : $ - <br /> Percent increase / ( decrease ) in request * * : 0 . 0 % <br /> Unduplicated Number of Children to be served Individually : 11773 <br /> Unduplicated Number of Adults to be served Individually : 837 <br /> Unduplicated Number to be served via Group settings : - <br /> Total Program Cost per Client : 153 . 42 <br /> * *If request increased 5 % or more, briefly explain why : N/A <br /> If these funds are being used to match another source, name the source and the $ amount: <br /> N/A <br /> The Organization 's Board of Directors has approved this application on (date). 7/19/01 <br /> te Janice Norman <br /> Name of President/Chair of the Board Si <br /> Jan S . Huffert <br /> Name of Executive Director/CEO Signature <br /> 3 <br />