ࡱ> QTP; bjbj B4ldldv[ )))===8u4d=2l  ##9E%E%E%52727272727272$"57[2)'#%#%"''[2#9p2+++'p#8#52+'52++:Q0,0#4:A(^}0 !22020RZ8(NZ80Z8)0HE%0u%"+%%E%E%E%[2[2)E%E%E%2U&''8'Z8E%E%E%E%E%E%E%E%E% : Contract # _______________ STATE OF NEW JERSEY DEPARTMENT OF CHIDREN AND FAMILIES Division of Family and Community Partnerships Office of School Linked Services Annex A Section 2.5 Adolescent Pregnancy Prevention Initiative (APPI) Note: This form is to be completed for each separately funded APPI. School Based Site: Date: Individual/Group Unduplicated# of APPI Reducing the Risk Leadership Group Classes DCF Expected LOS: APPI Reducing the Risk Leadership Group10-3016Actual # served and classes administered during most recent complete fiscal year*Estimated # to be served and classes to be administered during this new fiscal year.DCF Expected LOS: General Student Support**50NAActual # served during most recent complete fiscal year*NAEstimated # to be served during this new fiscal year.NA* The DCF contracted MIS database must be used to report this level of service. **Total LOS expected is 60 individuals. This number can be achieved between the minimum of 10 students enrolled in the Reducing the Risk Leadership Group and General Student Support. Events Community Awareness- effective July 1, 2016 all APPI sites are required to organize activities each May during Teen Pregnancy Prevention Awareness Month to encourage school staff, community providers, and students/ families to work with youth to lower teen birth and pregnancy rates. Provide a brief description of the expected activity planned. Anticipated Date/Month (e.g. May 2020)Event/Activity (e.g. social media safety)Target Audience (e.g. students, family, community)Anticipated # of participants      Revised: July 1, 2019 Annex A 2.5: APPI   PAGE \* MERGEFORMAT 1  PAGE \* MERGEFORMAT 1   *1TUah̯|n|_VMDVh7\5OJQJh<5OJQJhCs5OJQJh<5CJOJQJ^JaJhh25OJQJ^J#hhb5CJOJQJ^JaJh>z5CJOJQJ^JaJ#hh25CJOJQJ^JaJ#hhb5CJOJQJ^JaJhr25OJQJ^Jhhb5OJQJ^J hhWh<CJOJQJ^JaJ hh<CJOJQJ^JaJ2U0 1 [ f g y $$Ifa$gd r $$Ifa$gd $Ifgd8}gdCs$a$gdCs$a$gdb$a$gd<* / 0 1 D O V [ e f g   ) 1 Ǿǜskcks[hBOJQJh4lOJQJh7\OJQJ h\)hCJOJQJ^JaJh<OJQJh rOJQJhOJQJhhOJQJhCsCJOJQJaJhCs5>*OJQJhCs5OJQJhCsOJQJ#hMhCs5CJOJQJ^JaJh7\5CJOJQJ^JaJhCs5CJOJQJ^JaJ ^UII $$Ifa$gd $Ifgd7\kd$$IflF%0@  t06    44 lapytmQ  S T U I@44 $$Ifa$gd $IfgdBkd$$IflF%0@   t06    44 lapytmQ1 E Q R U V ` b n o       ) ؿǯ㤜㤔vn]Rhh4lOJQJ h\)hg CJOJQJ^JaJh rOJQJhh4l5OJQJ#hbhg CJH*OJQJ^JaJh7\OJQJhqOJQJhhg OJQJh4lOJQJha~HOJQJhBOJQJ h\)hCJOJQJ^JaJhhOJQJhmQOJQJhOJQJhh5OJQJ U V ^UII $$Ifa$gd $Ifgdkd$$IflF%0@  t06    44 lapytmQ ^UII $$Ifa$gdg $Ifgd4lkdy$$IflF%0@  t06    44 lapytmQ    I@44 $$Ifa$gdg $Ifgdg kd>$$IflF%0@   t06    44 lapytmQ  U V Y ^UII $$Ifa$gdg $Ifgdg kd-$$IflF%0@  t06    44 lapytmQ) + 7 8 U V X Y Z   a c d e k l ȶ~q~bUE5hkhM5CJOJQJaJh7zhM5CJOJQJaJhmQ5CJOJQJaJhmQhCJOJQJaJh<6CJOJQJaJhmQhmQ6CJOJQJaJhq6CJOJQJaJhmQhmQCJOJQJaJhhmQ6OJQJ#hhmQ6CJOJQJ^JaJ h\)h4lCJOJQJ^JaJh rOJQJhh4lOJQJhh4l5OJQJh4lOJQJY Z d e l ^VNNNFAgdM$a$gdM$a$gda~H$a$gdmQkd$$IflF%0@  t06    44 lapytmQl  NOlmnpqtu{l{l{l{]QB{]hhBCJOJQJaJhBCJOJQJaJhh-4CJOJQJaJhhCJOJQJaJhhMCJOJQJaJh<CJOJQJaJh-4CJOJQJaJhha~HCJOJQJaJhhM5CJOJQJaJhB5CJOJQJaJhMCJOJQJaJ#hhBCJOJQJ\^JaJ&hhB5CJOJQJ\^JaJ Omn8kd$$Ifl\pP.& 3  t0644 lap(yt $IfgdMgdMnopqrst $IfgdMtuvxy{|FA<:<:gd>zgdBkdx$$Ifl\pP.& 3  t0644 lap(ytuvwyz|}ϹؐሢؐhjhUjhUmHnHuh8}hh<CJaJh-ph<CJaJ+h-ph<6B*CJaJmHnHphuhBmHnHuhmHnHuh-Phjh-PhU#h>zh;@5CJOJQJ^JaJ&|~gdB &dP$ H$!a$gd>$$<$a$gd<$a$gd>z@ 0&P1F0/R :pB= /!"#v$% $$If!vh#v#v#v@ :V l t06555@ / pytmQ$$If!vh#v#v#v@ :V l  t06555@ / pytmQ$$If!vh#v#v#v@ :V l t06555@ / pytmQ$$If!vh#v#v#v@ :V l t06555@ / pytmQ$$If!vh#v#v#v@ :V l  t06555@ / pytmQ$$If!vh#v#v#v@ :V l t06555@ / pytmQ$$If!vh#v#v#v@ :V l t06555@ / pytmQ$$If!vh#v#v#v :V l t06555 p(yt$$If!vh#v#v#v :V l t06555 p(ytw02&6FVfv2(&6FVfv&6FVfv&6FVfv&6FVfv&6FVfv&6FVfv8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@6666_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH DA D Default Paragraph FontRi@R  Table Normal4 l4a (k (No List jj g Table Grid7:V0HH 63 Balloon TextCJOJQJ^JaJN/N 63Balloon Text CharCJOJQJ^JaJB' !B 4Comment ReferenceCJaJ<2< 4 Comment TextCJaJ:A: 4Comment Text Char@j12@ 4Comment Subject5\F/aF 4Comment Subject Char5\4@r4 >zHeader  H$6/6 >z Header CharCJaJ4 @4 >z0Footer  H$6/6 >z0 Footer CharCJaJ<<  Grid Table 5 Dark - Accent 12|:V0j@ j j; [j; [jF [jF [ 44hCJOJPJQJ^JaJ5B*\ph5B*\ph5B*\ph5B*\phPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭VGRU1a$N% ʣꂣKЛjVkUDRKQj/dR*SxMPsʧJ5$4vq^WCʽ D{>̳`3REB=꽻Ut Qy@֐\.X7<:+& 0h @>nƭBVqu ѡ{5kP?O&Cנ Aw0kPo۵(h[5($=CVs]mY2zw`nKDC]j%KXK 'P@$I=Y%C%gx'$!V(ekڤք'Qt!x7xbJ7 o߼W_y|nʒ;Fido/_1z/L?>o_;9:33`=—S,FĔ觑@)R8elmEv|!ո/,Ә%qh|'1:`ij.̳u'k CZ^WcK0'E8S߱sˮdΙ`K}A"NșM1I/AeހQתGF@A~eh-QR9C 5 ~d"9 0exp<^!͸~J7䒜t L䈝c\)Ic8E&]Sf~@Aw?'r3Ȱ&2@7k}̬naWJ}N1XGVh`L%Z`=`VKb*X=z%"sI<&n| .qc:?7/N<Z*`]u-]e|aѸ¾|mH{m3CԚ .ÕnAr)[;-ݑ$$`:Ʊ>NVl%kv:Ns _OuCX=mO4m's߸d|0n;pt2e}:zOrgI( 'B='8\L`"Ǚ 4F+8JI$rՑVLvVxNN";fVYx-,JfV<+k>hP!aLfh:HHX WQXt,:JU{,Z BpB)sֻڙӇiE4(=U\.O. +x"aMB[F7x"ytѫиK-zz>F>75eo5C9Z%c7ܼ%6M2ˊ 9B" N "1(IzZ~>Yr]H+9pd\4n(Kg\V$=]B,lוDA=eX)Ly5ot e㈮bW3gp : j$/g*QjZTa!e9#i5*j5ö fE`514g{7vnO(^ ,j~V9;kvv"adV݊oTAn7jah+y^@ARhW.GMuO "/e5[s󿬅`Z'WfPt~f}kA'0z|>ܙ|Uw{@՘tAm'`4T֠2j ۣhvWwA9 ZNU+Awvhv36V`^PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!g theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK]  4 9<Z]1 ) l u  U  Y nt| <TV]! !@ @ (    C s"R(? 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