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Hibiscus Children Center Crisis Nursery Program Children Services Advisory Committee <br /> ORGANIZATION : Hibiscus Children Center <br /> PROGRAM: Crisis Nursery <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 /> g Section of the Proposal Pa e # <br /> X TABLE OF CONTENTS (check list) 1 <br /> X COVER PAGE (with signatures) . . . * " " " 111 * 11600 * 060 6 0 66 6 . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . 3 <br /> A. ORGANIZATION CAPABILITY (one page maximum) 4 <br /> X 1 . Mission and Vision of organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . <br /> X 2 . Summary of expertise, accomplishments, and population served . . . . . . . . . . . . . . . . <br /> B. PROGRAM NEED STATEMENT (one page maximum) 5 <br /> X 1 . Program Need Statement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . 0 . . . 0 . . . . . . . . . . . . . <br /> X 2 . Programs that address need and gaps in service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . <br /> C. PROGRAM DESCRIPTION (two pages maximum) 6 <br /> X1 . Funding priority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . : . . . . . . . . . . . . . . . . . . . . . . . . <br /> X 2 . Description of program activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . <br /> X 3 . Evidence that program strategy will work . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . <br /> X4 . Staffing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 050 . 0 . . . . . <br />0 0 . . . . . . 0 " s . . . . . . 0 . . . . . 4 . 0 . 00 . <br /> X 5 : Awareness of program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . <br /> X 6 . Accessibility of program . . . a a a a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . <br /> X D. MEASURABLE OUTCOMES (two pages maximum) . . . . . . . . . . . . . . . . . . . . . . . . . 8 <br /> X E. COLLABORATION (one page maximum) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. 9 <br /> F. PROGRAM EVALUATION (two pages maximum) 10 <br /> XL Demographics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . 00 " <br /> X2 . Measures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . 0 . . 0 . . . . . . . . . . 0 . . 0 . . . <br /> X 3 . Reporting . , . . , . " 0016 0110 " 0 " 0 " 6 , 600 , 000 , 0110 11 * 10 * 16 * 0000 0 * 0 <br /> X G. TIMETABLE (one page maximum) . . . 12 <br /> H. UNDUPLICATED CLIENT COUNT <br /> X 1 . Projections by Location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . 13 <br /> X 2. Projections by Age Group . . , . , . . . . , . . , * , , * . . . . <br /> 1 <br />