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ORGANIZATION Gifford Youth Achievement Center, Inc. <br />PROGRAM: After School Education Program (ASEPI <br />FUNDER. Children's Services Advisory Committee <br />PROGRAM COVER PAGE <br />Organization Name: _ Gifford Youth Achievement Center, Inc. <br />Executive Director: Angelia Perry <br />Address: 4875 43rd Avenue <br />Vero Beach, FL 32967 <br />Program Director: Alfonso Chester <br />Address: 4875 43'1Avenue <br />E-mail: aperry(a�gyac.net <br />Telephone (772) 794-1005 <br />Fax: (772) 569-5563 <br />E-mail: achester@gyac.net <br />Telephone: (772) 794-1005 <br />Vero Beach, FL 32967 Fax: (772) 569-5563 <br />Program Title: After School Education Program (ASEP) <br />Priority Need Area Addressed: Out of school recreational activities -and enrichment programs. <br />Brief Description of theProgram: The After School. Education Program (ASEP) is an out of school <br />program for students in grades K -12: This program offers educational assistance through homework <br />assistance, tutoring, life -skills instruction in addition to cultural, recreational and social activities. <br />This program offers educational assistance.to vulnerable,at-risk students in Gifford and the <br />surrounding municipalities of Indian River County. <br />SUMMARY REPORT — <br />Amount Requested from Funder for 2015/16: <br />Total Proposed Program Budget for 2015/16: <br />Percent of Total Program Budget: <br />Current Program Funding (2014/15): <br />$ <br />$ <br />$ <br />30,000.00 <br />573,732.16 <br />5.2% <br />28,158 <br />Dollar Increase/(decrease) in request: <br />$ <br />1,842 <br />Percent increase/(decrease) in request **: <br />6.5% <br />Unduplicated Number of Children to be served Individually: <br />254 <br />Unduplicated Number of Adults to be served Individually: <br />- <br />Unduplicated Number to be served via Group settings: <br />- <br />Total Program Cost per Client: <br />2258,79 <br />**If request increased 5% or more, briefly explain why: The number of students served is projected to <br />increase by 20% from the 2013/14 program year. Three additional modular units have been placed on <br />the site that allows additional students to be served; thereby increasing operational expenses for the <br />after school program. <br />If these funds are being used to match another source, name the source and the $ amount: <br />The Organization's Board of Directors has approved this applicatiiin <br />Adam Bolinger <br />Name of President/Chair of the Board <br />Angelia Perry <br />Name of Executive Director/CPO <br />(date). A.ri121 2015 <br />Sign <br />Signature <br />2 <br />