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Big Brothers Big Sisters of Indian River County/Mentoring Children of Prisoners Program/ CSAC of Indian River County <br />PROGRAM COVER PAGE <br />Organization Name: Big Brothers Big Sisters of Indian River County <br />Executive Director: Judi Miller E-mail: judibbbs@gmail.com <br />Address: 403 N US Hwy 1 <br />Fort Pierce, FL 34950 <br />Program Director: Jenni Palm <br />Address: 403 N US Hwy 1 <br />Fort Pierce, FL 34950 <br />Telephone: 772-466-8535 Ext 202 <br />Fax: 772-828-2098 <br />E-mail: jenni.palm cr,bbbsbigs.org <br />Telephone: 772-466-8535 Ext 213 <br />Fax: 772-828-2098 <br />Program Title: Mentoring Children of Prisoners to Children of Promise <br />Priority Need Area Addressed: Priority 3 <br />Brief Description of the Program: (Taxonomy #PH 1400.5000 - Programs that provide <br />companionship, guidance and/or role models for individuals who are disadvantaged because of age, <br />income, physical or developmental disabilities or family environment.) This program will help fund 1 - <br />to -1 mentoring for children whose family member(s) are incarcerated in state or federal prison. <br />"MCOP" builds and strengthens families with the help of caring adult volunteers who become mentors <br />and role models so that children and youth increase their capacity to succeed to adulthood in a safe, <br />healthy and productive manner. <br />SUMMARY REPORT —(Enter Information In The Black Cells Only) <br />Amount Requested from Funder for 2015/16: <br />Total Proposed Program Budget for 2015/16: <br />Percent of Total Program Budget: <br />$ <br />$ <br />15,000.00 <br />56,618.00 <br />26.5% <br />Current Program Funding (2014/15): <br />$ <br />15,000 <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 />40 <br />Unduplicated Number of Adults to be served Individually: <br />40 <br />Unduplicated Number to be served via Group settings: <br />24 <br />Total Program Cost per Client: <br />544.40 <br />**If request increased 5% or more, briefly explain why: N/A <br />If these funds are being used to match another source, name the source and the $ amount: Department <br />of Juvenile Justice, $21,229. <br />The Organization's Board of Directors has approved this application on 4/27/2015 <br />,/../ <br />Joni Wyszkowski <br />Name of President/Chair-Elect of the Board <br />Judi Miller <br />Name of Executive Director/CPO <br />Si ,r ature <br />S' nature <br />2 <br />