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Hibiscus Childrens Center <br /> Crisis Nursery Program <br /> Indian River Children's Services Advisory Committee <br /> PROGRAM COVER PAGE <br /> Organization Name : Hibiscus Childrens Center <br /> Executive Director: Jan Huffert — Interim CEO Email : iswink6a,hcc4kids . org _ <br /> Address : P. O. Box 305 Telephone : 772-334-9311 <br /> Jensen Beach FL 34958 Fax : 772-3344991 <br /> Program Director:_ Georgia Cox Malone Email : WpaIone(@hcc4kids . org <br /> Address : P. O . Box 305 Telephone : 772-334-9311 <br /> Jensen Beach FL 34958 Fax : 772-334- 1991 <br /> Program Title : Crisis Nursery <br /> Priority Need Area Addressed: Parental Support and 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 (Le. <br /> unemployment, homelessness domestic violence mental health poverty etc ) Services may <br /> take the form of family supportaccessing therapeutic services coordinating medical needs <br /> improving daily living skills addressing educational needs and short term respite care for <br /> children. <br /> Amount Requested from Funder for 2003 /04 : $ 209250 <br /> Total Proposed Program Budget for 2003 /04 : $ 309 , 100 <br /> Percent of Total Program Budget : 6 . 6 % <br /> Current Funding (2002 /03 ) : $ 252000 <br /> Dollar increase/(decrease) in request : $ (45750 ) <br /> Percent increase/(decrease) in request : - 19 . 0 % <br /> Unduplicated Number of Children to be served Individually : 1 655 <br /> Unduplicated Number of Adults to be served Individually : X820 <br /> Unduplicated Number to be served via Group settings : _ <br /> Total Program Cost per Client : 124 . 89 <br /> Will these funds be used to match another source ? (NO ) <br /> If yes , name the source : <br /> Amount : $ <br /> The Organization 's Board of Directors has approved this application on (date). 7/19/01 <br /> Ilk <br /> Steve Strickland � <br /> Name of President/Chair of the Boardv" <br /> Signature t_ <br /> Jan Huffert <br /> Name of Executive Director/CEO Signature <br /> \ <br /> 3 <br />