State of New Jesrey

STATE OF NEW JERSEY

DEPARTMENT OF CHIDREN AND FAMILIES Contract # ______Division of Family and Community Partnerships Office of School Linked Services

Annex A Section 2.5 Prevention of Juvenile Delinquency (PJD)

Note: This form is to be completed for each separately funded PJD.

School Based Site: Date:

Individual/Group Unduplicated DCF Expected LOS: General Student Support** 60 Actual # served during most recent complete fiscal year.* Estimated # to be served during this new fiscal year. * The DCF contracted MIS database, Youth Services Net must be used to report this level of service.

Events Community Awareness- effective July 1, 2016 all PJD sites are required to organize activities each October during Violence Prevention Awareness Month to encourage school staff, community providers, and students/ families to work with youth to reduce bullying and violence.

Provide a brief description of the expected activity planned. Anticipated Event/Activity (e.g. social media safety) Target Audience (e.g. Anticipated # of participants Date/Month (e.g. students, family, community) October 2017)

Effective July 1, 2017