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Boys & Girls Clubs or Indian River County — Academic/Prevention Program — Grant Application to the Children Services Advisory Committee <br />PROGRAM COVER PAGE <br />Organization Name: Boys& Girls Clubs of'Indian River County <br />Executive Director: Elizabeth Thomason <br />Address: 1729 17th Avenue <br />Vero Beach. FL 32960 <br />Program Director: Elizabeth Thomason <br />Address: 1729 17th Avenue <br />Vero Beach, FL 32960 <br />E-mail: ethomason@becirc.org <br />Telephone: 772-299-7449 <br />Fax: 772-299-3840 <br />E-mail: ethomason@bgeirc.org <br />becirc.org <br />Telephone: 772-299-7449 <br />Fax: 772-299-3840 <br />Program Title: Academic/Prevention Programming <br />Priority Need Area Addressed: Out of school recreational activities/enrichment programs; and middle <br />and high school programs that address risky behavior <br />Brief Description of the Program: The Boys & Girls Clubs work to help young people between the <br />ages of 6 and 18 develop the qualities they need to become responsible citizens and successful leaders. <br />The Clubs offer daily access to a broad range of programs in six core program areas: education and <br />career development; character and leadership development; health and life skills; the arts; sports, <br />fitness and recreation; and community service. We have three clubs in the county to be accessible to <br />all children, and turn no child or family away for an inability to pay membership fees. <br />SUMMARY REPORT — (Enter Information In The Black Cells Onl <br />Amount Requested from Funder for 2015/16. <br />$ <br />J <br />55,000.00 <br />Total Proposed Program Budget for 2015/16 <br />$ 1,275,937 00 <br />Percent of Total Program Budget: <br />4.3% <br />Current Program Funding (2014/15). <br />$ <br />30,000 <br />Dollar increase/(decrease) in request- <br />$ <br />25,000 <br />Percent increase/(decrease) in request **: <br />83.3% <br />Unduplicated Number of Children to be served Individually. <br />1,225 <br />Unduplicated Number of Adults to be served Individually <br />Unduplicated Number to be served via Group settings- <br />- <br />Total Program Cost per Client <br />1041.58 <br />**If request increased 5% or more, briefly explain why: No increase. We are requesting $30.000 or <br />$10,000 per Club just as we did last year. Our programs are identical at each Club location. <br />If these funds are being used to match another source, name the source and the $ amount: n/a <br />The Organization's Board of Directors has approved this application on <br />Sherman Hotchkiss <br />Name of President/Chair of the Board Signa <br />Elizabeth Thomason <br />Name of Executive Director/CPO Signature <br />✓ L /lt�� s <br />S <br />2 <br />