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~ ~p~o.n e~ ~ <br /> <br />Component Name Ch~mpie-_s of Youth <br />(Attach a page for each program component) <br /> <br />* Client Capacity 30 Anticipated average length of stay 365 (days). <br /> <br />Estimated number of youth to be served during funding period 20. <br />Estimated average cost per youth $1602 per year. <br /> <br />* Actual number of youth admitted last fiscal year: 14 <br /> <br /> 8 # of admissions Juvenile Court referred, 57 % of total admissions. <br /> <br /> 2 # of law enforcement referred, <br />~Program uses Client Tracking Forms [5~ <br /> <br /> 14 % of total admissions. <br /> <br />Program Uses Quarterly & Annual Program <br />Review <br /> <br />* if the funds being requested will be used for more than one program type please provide <br />this information for each component on a separate sheet. <br /> <br />In the space provided, please list each Measurable Objective in your current program <br />agreement and indicate the dem'ee to which your pro~ram has been successfifl in <br />achieving them. These objectives should include reductions in court referrals, runaway <br />behavior, disruptive behavior in school, improved school attendance and academic <br />achievement. (Use data from program operation through December 31 st of current <br />funding year.) <br /> <br />N/A: New Program <br /> <br />Describe how program will obtain and analyze data to determine clients court <br />involvement 1 year following termination from the program. <br /> <br />Follow-up contacts will be made one year after client termination with referral sources and local <br />uvenile court counselors to determine court involvement. <br /> <br />2 <br /> <br /> <br />