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INDIAN RIVER COUNTY <br />DORI SLOSBERG DRIVER EDUCATION SAFETY ACT <br />GRANT PROGRAM <br />SECTION A. APPLICANT INFORMATION <br />Identify the agency or organization and official who is authorized to execute any grant <br />related documents: <br />1. Applicant Name: School District of Indian River County <br />2. Address: 6500 57th Street <br />Vero Beach, Florida 32960 <br />3. Telephone Number: /t2--4- 39 Fax: 772-564-3077 <br />4. Authorized Official: Dr. Kathrine Pierandozzi <br />5. Fiscal Officer: Dr. Mark Rendell <br />6. Program Director: Dr. Kathrine Pierandozzi <br />7. Federal Identification Number: 596000673 <br />• 8. Status: Public School XX <br />Non -Public School <br />• <br />SECTION B. PROGRAM INFORMATION <br />1. Program Name: Drivers Education <br />2. Program Type: Curriculum Programming <br />3. Total program budget (attach copy of proposed program budget <br />4. Amount of grant funds requested $49,000,00 <br />5. List other and/or potential funding sources for the program and any matching <br />requirements for such funds: <br />Funding Source: Amount: <br />N/A N/A <br />6. Estimated number of students to be served: <br />7. Cost per participant: Amount of funds requested divided by estimated number of <br />students — ($558.00 per student (approximately 87 Students) — depending on student <br />enrollment). <br />273 <br />