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Boys & Girls Clubs of Indian River County — Sebastian 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 <br />Address: 1729 17th Avenue <br />Vero Beach, FL 32960 <br />E-mail:ethomasongbgcirc.org <br />Telephone: (772) 299-7449 <br />Fax: (772) 299-3840 <br />Program Director: Elizabeth Thomason E-mail: same <br />Address: same Telephone: same <br />Fax: same <br />Program Title: Sebastian 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 preuancy, 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 />ages and backgrounds, but particularly for disadvantaged youth, through membership in boys 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: <br />Total Proposed Program Budget for 2014/15: <br />Percent of Total Program Budget: <br />Current Program Funding (2014/15): <br />Dollar increase/(decrease) in request: <br />Percent increase/(decrease) in request **: <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 />Total Program Cost per Client: <br />$ 10,000.00 <br />362,416.00 <br />2.8% <br />10,000 <br />0.0% <br />380 <br />953.732j <br />**If request increased 5% or more, briefly explain why: nia. <br />If these funds are being used to match another source, name the source and the $ amount: N/A <br />The Organization's Board o f Directors has approved this appli n (date). Ma 0 <br />Sherman Hotchkiss <br />Name of President/Chair of the Board <br />Elizabeth Thomason <br />Name of Executive Director Signatur <br />Signa ure <br />