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Willis Sports Association,Inc._WSA's Florida Dodgers Baseball Program-CSAC <br /> PROGRAM COVER PAGE <br /> Organization Name: Willis Sports Association, Inc. <br /> Executive Director: James Willis E-mail:willissportsinc@wmail.com <br /> Address: 8755 97th Ave Telephone: 772-360-9804 <br /> Vero Beach, FL 32967 Fax: 772-226-2685 <br /> Program Director: April Willis E-mail:willissportsincggmail.com <br /> Address: 8755 97th Ave Telephone: 772-370-5858 <br /> Vero Beach, FL 32967 Fax: Fax: 772-226-2685 <br /> Program Title: Willis Sports Association's Florida Dodgers Baseball Program <br /> Priority Need Area Addressed: Out of school recreational activities and enrichment programs <br /> Brief Description of the Program: This program is designed to engage minorities and <br /> disadvantaged youth in the game of baseball. The program provides opportunities for physical <br /> activity, social and emotional growth and development, character development, civic <br /> engagement, and puts a focus on academic achievement and personal responsibility on and off <br /> the field <br /> SUMMARY REPORT—(Enter Information In The Black Cells Only) <br /> Amount Requested from Funder for 2016/17: $ 20,000.00 <br /> Total Proposed Program Budget for 2016/17: $ 96,783.80 <br /> Percent of Total Program Budget: 20.7% <br /> Current Program Funding (2016/17): $ - <br /> Dollar increase/(decrease) in request: $ 20,000 <br /> Percent increase/(decrease) in request **: #DIV/0! <br /> Unduplicated Number of Children to be served Individually: 153 <br /> Unduplicated Number of Adults to be served Individually: - <br /> Unduplicated Number to be served via Group settings: - <br /> Total Program Cost per Client: 632.57 <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 appVationn(date,. <br /> r(t�s -,IY 'lName of President/Chair of the Board re <br /> Name of Executive Director/CPO Sig tore <br /> 2 <br /> I <br />