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A TRUE CRAY Boys & Girls Clubs of Indian River County — Sebastian Branch CERTIFICATION ON LAST PAGE Grant Application to the Children ' s Services Advisory Committee J . R . SMITH , CLERK PROGRAM COVER PAGE Organization Name : Boys & Girls Clubs of Indian River County Executive Director : Elizabeth Thomason E - mail : ethomasongbecirc . org Address : 1729 17th Avenue Telephone : ( 772 ) 299 - 7449 Vero Beach , FL 32960 Fax : (772 ) 299 - 3840 Program Director : Elizabeth Thomason E - mail : ethomasonna , becirc . org Address : 1729 17th Avenue Telephone : ( 772 ) 299 - 7449 Vero Beach , FL 32960 _ Fax : ( 772 ) 299 - 3840 Program Title : Sebastian 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 offering a curriculum that includes : homework assistance , tutoring, life skills training and other enrichment programs 3 - Enhance community 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 supervised 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 gang programs , drug abuse and alcoholism p evention 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 : $ 3605875 . 00 Percent of Total Program Budget : 4 . 3 % Current Program Funding ( 2011 / 12 ) : $ 14 , 813 j ( Dollar increase / ( decrease ) in request : $ 687 j ( Percent increase / ( decrease ) in request * * : 4 . 6 % jUnduplicated Number of Children to be served Individually : 550 lUnduplicated Number of Adults to be served Individually : Unduplicated Number to be served via Group settings : - ' Total Program Cost per Client : _ _ 656 . 14 * * 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 Name of President/Chair of the Board Sigaa re Elizabeth Thomason A Name of Interim Executive Director/CPO Signature 1