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SAC <br />LST CSAC 2015/16 <br />PROGRAM COVER PAGE <br />Organization Name: Substance Awareness Center of Indian River County <br />Executive Director: Robin A Dapp, LMHC. NCC E-mail:rdapp cr sacirc.org <br />Address• 1507 20th Street. Vero Beach. FL 32960 Telephone: 772-770-4811 Fax:772-770-4822 <br />Program Director: Robin Dapp E-mail: rdapp(rl),sacirc.or . <br />Address. 1507 20th Street. Vero Beach. FL 32960 Telephone: 772-770-4811 Fax: 772-770-4822 <br />Program Title: LifeSkills Training Level #1 (Universal program) <br />Priority Need Addressed: #4 <br />Brief Description of the Program: Taxonomy: RX 8250 Drug Abuse Education/Prevention. The <br />LifeSkills Training® Program (LST) is a comprehensive, research based. proven effective substance <br />abuse prevention program. LST is designed to reduce and prevent substance use/abuse and other high- <br />risk behaviors including violence and bullying among IRC middle school youth. There is a direct <br />correlation between chanting adolescent perceptions of the "benefits" vs. the risks of alcohol, tobacco <br />and other drugs (ATOD) and delaying the age of onset of initial use. By increasing protective factors <br />and changing attitudes towards ATOD the age of initial use can be delayed thereby positively <br />impacting the adolescent. the family and the community. <br />SUMMARY REPORT —(Enter Information In The Black Cells Only) <br />Amount Requested from Funder for 2014/15: <br />Total Proposed Program Budget for 2014/1 5: <br />$ 67,216.00 <br />$ 291,320.00 <br />Percent of Total Program Budget <br />24 0% <br />Any Current Program Funding from THIS Funder (201 3/1 4)- <br />$ <br />67,2 16 <br />Dollar increase/(decrease) in request <br />$ <br />- <br />Percent increase/(decrease) in request **: <br />0.0% <br />Unduplicated Number of Children to be served Individually <br />Unduplicated Number of Adults to be served Individually: <br />Unduplicated Number to be served via Group settings: <br />4,135 <br />Total Program Cost per Client <br />66 73 <br />**If request increased by 5% or more over previous year's allocation, bnetly explain wny: <br />If these funds are being used to match another source, name the source and the $ amount: <br />$10.000 Private Donation. 25.000 United Way, S150,000 PPG ( not yet approved) <br />Fiscal Year: Jan/Dec July/June Oct/Sept EIN #: 65-0202835 <br />The Organization's Board of Directors has approved this a.plication on (date). 4/22/2015 <br />Bernadette Emerick <br />Name of President/Chair of the Board Signature <br />Robin Dapp. LMHC. NCC <br />Name of Executive Director/CPO <br />Signat i <br />NCe_ <br />2 <br />