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Boys & Girls Clubs of Indian River County — Vero Beach Branch <br />Grant Application to the Children's Services Advisory Committee <br />PROGRAM COVER PAGE <br />Organization Name: Boys & Girls Clubs of Indian River County <br />Executive Director: Elizabeth Thomason E-mail:ethomason(a becirc.org <br />Address: 1729 17th Avenue Telephone: (772) 299-7449 <br />Vero Beach, FL 32960 Fax: (772) 299-3840 <br />Program Director: Elizabeth Thomason E-mail: same <br />Address: same Telephone: same <br />Fax: same <br />Program Title: Vero Beach Branch <br />Priority Need Area Addressed: #3 Improve and enhance community-based programs that address <br />adolescent's needs, such as; healthy social behaviors, positive self esteem, teen premancy, delinquency, <br />dropout and substance abuse prevention and other mental and physical health issues. <br />#4 Support the programs that enrich a child's learning environment, by offering a curriculum that <br />includes: homework assistance, tutoring, life skills and job readiness training, and other positive youth <br />development programs. <br />Brief Description of the Program: Taxonomy Definition PS -980.1000: Programs that provide a wide <br />range of supervised recreational activities and delinquency prevention services for children and youth of all <br />a'es and back • ounds but .articular) fordisadvanta'ed outh through membershiin bo s and/or girls <br />clubs. Club members are entitled to use recreational facilities and may have access to counseling, tutorial <br />services, employment assistance, gang programs, drug abuse and alcoholism prevention and other <br />activities and services that direct their energies toward positive social goals and facilitate healthy <br />personality development. <br />SUMMARY REPORT — (Enter Information In The Black Cells Only) <br />!Amount Requested from Funder for 2014/15: $ 10,000.00 <br />!Total Proposed Program Budget for 2014/15: $ 422,257.00 <br />Percent of Total Program Budget: 2.4% <br />,Current Program Funding (2014/15): <br />Dollar increase/(decrease) in request: $ 10,000 <br />Percent increase/(decrease) in request **: 0.0% <br />Unduplicated Number of Children to be served Individually: 410 <br />Unduplicated Number of Adults to be served individually: <br />Unduplicated Number to be served via Group settings: <br />Total Program Cost per Client: <br />1029.90 <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: N/A <br />The Organization's Board of Directors has approved this appli n-qn (date). Ma 1 E` 014 <br />Sherman Hotchkiss <br />Name of President/Chair of the Board Signa ure <br />Elizabeth Thomason <br />6,, <br />Name of Executive Director Signature <br />