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Boys & Girls Clubs of Indian River County — Fellsmere Branch Grant Application to the Children ' s Services Advisory Committee PROGRAM COVER PAGE Organization Name : Boys & Girls Clubs of Indian River County Executive Director : Jay McNamara ( interim ) E -mail : j . mcnamara@comcast . net Address : 1729 17th Avenue Telephone : ( 772 ) 299 - 7449 Vero Beach FL 32960 Fax : ( 772 ) 299 - 3840 Program Director : Heidi Soares E - mail : heidisoaresgb ctg ' rc . org Address : 1729 17th Avenue Telephone : ( 772 ) 299 - 7449 Vero Beach . FL 32960 Fax : ( 772 ) 299 -3840 Program Title : Fellsmere 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 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 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) A uom n Requested from Funder for 201 1 / 12 : $ 201000 . 00 Total Proposed Program Budget for 2011 / 12 : $ 2871679 . 00 Percent of Total Program Budget : 7 . 0 % Current Program Funding ( 2011 / 12 ) : $ 20 , 000 i Dollar increase / ( decrease ) in request : $ - , Percent increase / ( decrease ) in request * * : 0 . 0 % , Unduplicated Number of Children to be served Individually : 450 ; Unduplicated Number of Adults to be served Individually : - ' Unduplicated Number to be served via Group settings : - Total Program Cost per Client : 639 . 29 * * If request increased 5 % or more , briefly explain why : The Organization 's Board of' Directors has approved this application on (date) . January 31 , 2011 i 1 Jay McNamara/Board Chairman Name of President/Chair of the Board Sig tore Jay McNamara/Board Chairman Name of Interim Executive Director/CPO Si ature 1