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Boys & Girls Clubs of Indian River County — Fellsmere Branch A TRUE COPY <br /> Grant Application to the Children ' s Services Advisory Committee <br /> CERTIFICATION ON LAST PAGE <br /> PROGRAM COVER PAGE J . R • SMITH , CLERK <br /> Organization Name : Boys & Girls Clubs of Indian River County <br /> Executive Director : Elizabeth Thomason E- mail : ethomason a,becirc . org <br /> Address : 1729 17"' Avenue Telephone : ( 772 ) 299- 7449 <br /> Vero Beach , FL 32960 Fax : ( 772 ) 299 - 3840 <br /> Program Director : Elizabeth Thomason E - mail : ethomasonkbecirc . org <br /> Address : 1729 17th Avenue Telephone : ( 772 ) 299- 7449 <br /> Vero Beach , FL 32960 Fax : ( 772 ) 299 - 3840 <br /> Program Title : Fellsmere Branch <br /> Priority Need Area Addressed: 2 — Increase childcare capacities and subsidies for underserved <br /> populations ; improve the quality of childcare programs and increase accessibility for children from lower <br /> income families . 3 - Childcare/Child Health & Education : Support of after-school programs that enrich a <br /> child ' s leaming environment by offering_a curriculum that includes : homework assistance , tutoring life <br /> skills training and other enrichment programs . 3 - Enhance community based programs that address <br /> adolescents ' needs (substance abuse prevention , social behaviors , etc . ) <br /> Brief Description of the Program : Taxonomy Definition PS - 980 . 1000 : Programs that provide a wide <br /> range of supervised recreational activities and delinquency prevention services for children and youth of all <br /> ages and backgrounds , but particularly for disadvantaged youth , through membership in boys and/or girls <br /> clubs Club members are entitled to use recreational facilities and may have access to counseling , tutorial <br /> services employment assistance gang programs , drug abuse and alcoholism prevention and other <br /> activities and services that direct their energies toward positive social goals and facilitate healthy <br /> personality development . - <br /> _ <br /> SUMMARY REPORT — (Enter Information In The Black_Cel_ls_ _ Only) __ _ _ <br /> ' Amount Requested from Funder for 2011 / 12 : $ 15 , 500 . 00 <br /> Total Proposed Program Budget for 201 1 / 12 : $ 318 , 804 . 00 <br /> Percent of Total Program Budget : 4 . 9 % <br /> Current Program Funding ( 2011 / 12 ) : $ 14 , 813 it <br /> Dollar increase / ( decrease ) in request : $ 687 L <br /> ( Percent increase / ( decrease ) in request * : 4 . 6 % <br /> Unduplicated Number of Children to be served Individually : 375 <br /> ; Unduplicated Number of Adults to be served Individually : - <br /> Unduplicated Number to be served via Group settings : - <br /> Total Program Cost per C tient : 850 . 14 ': <br /> * * If request increased 5 % or more , briefly explain why : N/A <br /> The Organization 's Board of Directors has approved this application on (date) . April 30 , 2012 <br /> Jay McNamara/Board Chairman <br /> Name of President/Chair of the Board Sig re <br /> Elizabeth Thomason <br /> - <br /> Name of Interim Executive Director/CPO Signature <br /> 1 <br />