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Boys & Girls Clubs of Indian River County — Vero Beach Branch Grant Application to the Children ' s Services Advisory Committee A TRUE COPY CERTIFICATION ON LAST PAGE PROGRAM COVER PAGE J . R . SMITH , CLERK Organization Name : Boys & Girls Clubs of Indian River County Executive Director : Elizabeth Thomason E -mail : ethomasonna ,b cig rc . org Address : 1729 17th Avenue Telephone : (772 ) 299- 7449 Vero Beach, FL 32960 Fax : (772 ) 299 - 3840 Program Director: Elizabeth Thomason E-mail : ethomasongb cig ' rc . org__ Address : 1729 17th Avenue Telephone : (772 ) 299 - 7449 Vero Beach , FL 32960 Fax : (772 ) 299 -3840 Program Title : Vero Beach Branch Priority Need Area Addressed: 2 — Increase childcare capacities and subsidies for underserved populations ; improve the quality of childcare programs and increase accessibility for children from lower income families . 3 - Childcare/Child Health & Education : Support of after- school programs that enrich a child ' s learning environment, by offering a curriculum that includes : homework assistance , tutoring, life skills training and other enrichment programs . 3 -Enhance communily based programs that address adolescents ' needs (substance abuse prevention , social behaviors, etc . ) Brief Description of the Program : Taxonomy Definition PS -980 . 1000 : Programs that provide a wide range of s_pervised recreational activities and delinquency prevention services for children and youth of all ages and backgrounds but particularly for disadvantaged youth, through membership in boys and/or girls clubs . Club members are entitled to use recreational facilities and may have access to counseling, tutorial services, employment assistance, gangprograms, drug abuse and alcoholism prevention and other activities and services that direct their energies toward positive social goals and facilitate healthy personality development. SUMMARY REPORT — (Enter Information In The Black Cells Only) Amount Requested from Funder for 2011 / 12 : $ 15 , 500 . 00 Total Proposed Program Budget for 2011 / 12 : $ 4041985 . 00 Percent of Total Program Budget : 3 . 8 % Current Program Funding ( 2011 / 12 ) : $ 14 , 813 Dollar increase / ( decrease ) in request : $ 687 Percent increase / ( decrease ) in request * * : 4 . 6 % Unduplicated Number of Children to be served Individually : 505 Unduplicated Number of Adults to be served Individually : - Unduplicated Number to be served via Group settings : - Total Program Cost per Client : 801 . 95 * * If request increased 5 % or more, briefly explain why : N/A The Organization 's Board of Directors has approved this application on (date) . April 30 , 2012 Jay McNamara/Board Chairman ero7 -- . Name of President/Chair of the Board Si re Elizabeth Thomason �-- Name of Interim Executive Director/CPO Signature `J 1