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Name of Organization <br />Name of Funded Program <br />Annual Accomplishment Goal <br />I. Total number of unduplicated clients (Santa Ana and Non -Santa Ana Residents) anticipated to be served by the <br />funded ro ram, named above, during the 12 -month contract period. <br />201f Persons <br />City of Santa Ana <br />II. Number of ONLY unduplicated Santa Ana residents to be served by the funded program, named above, during the <br />12 -month contract period. <br />15 Persons <br />Program and Funding Description <br />III. Description of Work - In the space below, describe the program to be funded during the 12 -month contract period. <br />What specific activities will be undertaken during the contract period. Please be concise in your response. Only the <br />an Options will provide 15 Santa Ana residents experiencing domestic violence in their home with a safe place to <br />and support services that will move them toward self - sufficiency, emotionally, economically and socially. Human <br />)ns Emergency Shelter provides shelter and services for up to 45 days. During this time clients will receive <br />tance in obtaining permanent housing, psychological counseling, employment counseling, nutritional counseling, <br />portation, job placement and childcare. These funds will be used to support the Shelter Program Director's <br />y. The Program Director oversees the entire operation of the shelter on a day -by -day basis. She interacts not <br />with the staff, but with every client. She supervises the staff and advises them on any decisions made regarding <br />client. The Shelter Program Director at Human Options has been in this position for eleven years. <br />Schedule of Performace <br />Estimate the number of ONLY unduplicated Santa Ana residents to be served by the funded program during the 12- <br />month contract period per quarter. (Enter number of new Santa Ana clients served each quarter. If they were served <br />in quarter 1 do not count them again in quart er 2 <br />Quarter 1: July 1 - September 30 Persons <br />Quarter 2: October 1 - December 31 4 Persons <br />Quarter 3: January 1 - March 31i Persons <br />Quarter 4: April 1 -June 30 !_ ._! _..d..__t! !Persons <br />15 Total unduplicated Santa Ana Residents to be served. <br />Schedule of Invoicing <br />Estimate the amount of grant funds to be requested during the 12 -month contract period on a quarterly basis. <br />Quarter 1: July 1 - September 30 <br />Quarter 2: October 1 - December 31 <br />Quarter 3: January 1 - March 31 $ . <br />Quarter 4: April 1 -June 30 <br />$ 12,000.00 Total Grant <br />Exhibit A <br />Page 1 of 1 <br />