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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 : Lwink(a)hcc4kids . org <br /> Address : P. O . Box 305 Telephone : 772-334-9311 <br /> Jensen Beach, FL 34958 Fax : 772-334- 1991 <br /> Program Director: Georgia Cox Malone Email : gmaloneaa,hcc4kids . org__ <br /> Address : P. O . Box 305 Telephone $ 772-334-9311 <br /> Jensen Beach, FL 34958 Fax : 772-3344991 <br /> Program Title: Crisis Nursery <br /> Priority Need Area Addressed. Parental Support and Education <br /> Brief Description of the Program : Child abuse and ne lg ect prevention and crisis intervention <br /> program providing voluntary in-home services to families experiencing crisis (i . e . <br /> unemployment, homelessness domestic violence mental health pove etc ) Services may <br /> take the form of family supportaccessin 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 : $ 3099100 <br /> Percent of Total Program Budget : 6 . 6 % <br /> Current Funding (2002 /03 ) : $ 25 , 000 <br /> Dollar increase/(decrease) in request : $ (47750 ) <br /> Percent increase/(decrease) in request : - 19 . 0 % <br /> Unduplicated Number of Children to be served Individually : 19655 <br /> Unduplicated Number of Adults to be served Individually : 820 <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 /> Steve Strickland <br /> Name of President/Chair of the Board Signature <br /> Jan Huffert 69 �k <br /> Name of Executive Director/CEO Signature <br /> 3 <br />