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AGENCY REQUEST FOR FUNDING FROM INDIAN RIVER COUNTY <br />FISCAL YEAR 201812019 <br />A. Program Cover Page <br />Agency: 211 Palm Beach/Treasure Coast, Inc. Telephone <br />Contact Person: Sharon L'Herrou Fax: <br />Title: President/CEO E -Mail: <br />Address: P.O. Box 3588 <br />Lantana, FL 33465-3588 <br />------------- <br />Website Address: www.21ltreasurecoast.org <br />Program Title: 211 HeIpLine <br />561-533-1065 <br />561-S47-8639 <br />sharon.lherrou@211pbtc.org <br />I certify that information contained in this application accurately reflects the activities of.this agent <br />the expenditures or portions thereof for which County funds are being requested are not reimbursed by <br />any source. <br />otheKom 1� Sharon L'Herrou,-President/C130 <br />Signature Print name and title <br />Brief description of the Pro_qram for which funding is requested: <br />211 HeIpLine is the crisis hotline and community helpline serving individuals and families in <br />Indian River County who are struggling with .life's challenges and need someone to talk to, <br />someone who cares, and someone who can connect them with the services they so desperately <br />need. 211 HeIpLine operates 24 hours per day/365 days per year, providing technology based <br />services consisting of information, assessment, referral, advocacy, and follow-up along with crisis <br />intervention, suicide prevention, and telephone counseling. Highly trained 211 HeJpLMe <br />Specialists are non -judgmental, exhibit active listening skills and utilize a comprehensive Health <br />and Human Services Database to make appropriate referrals based on callers' needs. 211 HelpLine <br />is the regional responder for the National Suicide Prevention Lifeline, meaning that anyone.in the <br />Treasure Coast that dials the 1 -800 -273 -TALK number, our trained staff answer the call and are <br />able to de-escalate suicidal callers. Our staff save lives, every single day! <br />Summary Report <br />,Amount requested from Indian River County for 2018/2019: $10,920 <br />Total Proposed Program budget for 2018/2019: $420,530 <br />Percent of total Program budget: 2.5% <br />Current Funding (2017/2018) $10,500 <br />Dollar increase / (decrease) in request: <br />Percent increase / decrease in request: 4 OXo <br />If reauest increased 5% or more, briefly explain why: <br />Page 1 of 13 <br />