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Substance Awareness Council of IRC LifeSkills®Training <br /> CSAC of IRC 2010 - 1 1 <br /> PROGRAM COVER PAGE <br /> Organization Name : Substance Awareness Council of Indian River Count <br /> Executive Director : Robin A Dapp L M I-I C . _ E-maiLrda (fsacirc . or <br /> Address : 1507 20 ` h Street. Vero Beach FL 32960 Telephone : 772 - 770 -4811 <br /> Program Director : Robin A Dapp L M H C , Fax ' 772 - 770 - 4822 <br /> Address : 1507 20 "' Street Vero Beach , Telephone : 7� sacirc . org <br /> P 772 - 770 -4811 <br /> Program Title : LifeSklll Training Program Fax : 772 - 770 -4822 <br /> Priority Need Area Addressed: DRUG ABUSE PREVENTION - Increase dru.g and alcohol <br /> programs -aimed at the elementary and secondary populations prevention. <br /> Substance Abuse Prevention/Education RX-8250 , Youth Violence Prevention FN- ]. 500 . 9700 <br /> Brief Description of the Program : LST is a highly effective evidence - based substance abuse and <br /> violence Drevention program with 25 years of- 12eer-reviewed research behind it . LST is curretl <br /> im lemented Population - wide throughout all count 6`h 7 `h and 8 `h grade classrooms in Indian River . <br /> SUMMARY REPORT — Enter Information In The Black Cells Only) <br /> Amount Requested from Funder for 2010 / 1 1 : <br /> Total Proposed Program Budget for 2010 / 1 1 : $ 703000 . 00 <br /> Percent of Total Program Budget : $ 137 , 000 . 00 <br /> Current Program Funding (2009 / 10 ) : 51 . 1 % <br /> Dollar increase / ( decrease ) in request : $ 703000 <br /> Percent increase /( decrease ) in request <br /> Unduplicated Num ber of Children to be served Individually : 0 . 0 % <br /> Unduplicated Num ber of Adults to be served Individually : <br /> Unduplicated Num ber to be served via Group settings : <br /> Total Program Cost per Client : 3 , 200 <br /> * * If request increased by 10 `% or more over previous year ' s allocation , briefly explain why - <br /> If <br /> _ . l <br /> If these funds are being used to match another source, name the source and the $ amount : <br /> $ 10 , 000 . 00 has been requested from UW of IRC and $ 20 , 000 . 00 is requested from Tobacco <br /> Partnershipof IRC . No a roved additional fundin as of this rant sul fission. <br /> The Orgmni ntion 's. Board ofDirectas has aPP roved this applicnt.ion. .oil. (date) . _.__ <br /> .. <br /> i <br /> i - <br /> Deryl Loar w� <br /> Name of President/Chair of the Board � <br /> Signature <br /> Robin A . Dapp <br /> c <br /> Name of Executive Director/CPO <br /> Sign to e ,\ <br /> i <br /> 2 <br />