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Organization : Youth Guidance Mentoring & Activities Program Program : Youth Guidance Mentoring & Activities Program <br /> Funder: Children 's Services Advisory Committee <br /> PROGRAM COVER PAGE <br /> - PROGRAM COVER PAGE <br /> Organization Name . Youth Guidance Mentoring & Activities Program <br /> Executive Director: Doug Borrie E=mail : dborrie@youthguidancepro am. org <br /> Address : 1028 20th Place Telephone : (772) 770 -5040 <br /> Vero Beach, FL 32960 Fax : (772) 770-5042 <br /> Program Director. Darlene Forage <br /> - -- E-mail : dforageAyouthguidancepro rg am. org <br /> Address : 1028 20th Place Telephone : (772) 770-5040 <br /> Vero Beach, FL 32960 Fax : (772) 770-5042 <br /> Program Title: Youth Guidance Mentoring & Activities Program <br /> Priority Need Area Addressed: Enrich a Child ' s Learning Environment : Positive Youth Development <br /> Brief Description of the Program : Youth Guidance Mentoring & Activities Program provides <br /> positive caring adult role models and mentors for at-risk youth in kindergarten through 12th grades. <br /> Enrolled children are from low-income, single-parent households throughout Indian River County_ <br /> Taxonomy : Adult/Child Mentoring Programs ; Code PH4400 . 5000400 <br /> SUMMARY REPORT — Enter Information In The Black Cells Only) <br /> Amount Requested from Funder for 2013 / 14 : $ 20 , 480 .00 <br /> Total Proposed Program Budget for 2013 / 14 : $ 297 , 443 .00 <br /> Percent of Total Program Budget . 6 .9 % <br /> Current Program Funding ( 2013 / 14 ) : $ - <br /> Dollar increase / ( decrease ) in request : $ 20 , 480 <br /> Percent increase / ( decrease ) in request * * : <br /> Unduplicated Number of Children to be served Individually : 265 <br /> Unduplicated Number of Adults to be served Individually : <br /> Unduplicated Number to be served via Group settings . 175 <br /> Total Program Cost per Client : 676 . 01 <br /> * * If request increased 5 % or more, briefly explain why : Youth Guidance is seeking its initial funding <br /> from the Children' s Services Advisory Committee. <br /> If these funds are being used to match another source, name the source and the $ amount. N/A <br /> The Organization 's Board of Directors has approved this application on (date). 2/20/13 <br /> Rebecca Hombuckle <br /> Name of President/Board Chair Signature <br /> Doug Borrie <br /> Name of Executive Director/CPO Signature <br /> 2 <br />