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Edit this Header. Type the organization and program name and the funder for whom it is being completed. The page # is already set at <br /> the bottom right <br /> of every page, <br /> PROGRAM COVER PAGE <br /> Organization Name : _Sun Up of Indian River Inc <br /> Executive Director : Dennis Bartholomew E-mail : dbartholomew2455nbellsouth. net <br /> Address : 2455 5t' St . S . W . Telephone : 772- 770- 6626 <br /> Fax : 772- 770-6624 <br /> Program Director : Sharon Paxton E-mail : spaxton245 5abell south. net <br /> Address : 2455 5t' St. S . W. Telephone : 772-220-6626 <br /> Fax : 772 - 770-6624 <br /> Program Title : Early Intervention <br /> Priority Need Area Addressed: Early Intervention for developmentally disabled and mentally ill <br /> children <br /> Brief Description of the Program : This Early Intervention program is unique in our community Each <br /> 10 week program is s ecifically designed to meet the child ' s needs Parents, siblings and caregivers <br /> are integrated into the therapy process learning what each therapist (Speech Physical and <br /> Occupational) is working to accomplish and continuingthat hat process at home Not onlyare the desired <br /> results in the child ' s development accelerated but the bond between the child and family members is <br /> strengthened <br /> SUMMARY REPORT - (Enter Information In The Black Cells Only <br /> Amount Requested from Funder for 201 1 / 12 : LPM <br /> Total Proposed Program Budget for 201 1 / 12 :Percent of Total Program B udget : !Current <br /> Program Funding ( 2011 / 12 ) :Dollar increase / ( decrease ) in request : $Percent increase /( decrease ) <br />in request "� :n up icate um ero t ren to a serve n ivt ua y :Unduplicated Number of Adults to be served <br /> Individually :Unduplicated Number to be served via Group settings :Total Program Cost per Client : <br /> * * If request increased 5 % or more, briefly explain why : This is Sun Up ' s first time requesting funding <br /> If these funds are being used to match another source, name the source and the $ amount : <br /> Quail Valley Charities Inc $ 17, 000 <br /> The Organization 's Board of Directors has approved this application on (date) . April 20, 2011 <br />