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EXHIBIT A INDIAN RIVER COUNTY NONPROFIT / QUASI AGENCY REQUEST FOR FUNDING A. Program Cover Page Agency: 211 Palm Beachrrreasure Coast Telephone: 561-383-2170 Contact Person: Alix Allison Fax: 561-547-8639 Title: Grants and Compliance Manager E -Mail: alix.allison(a�211pbtc.org Address: P.O. Box 3588 Lantana, FL 33465- 3588 Website Address: www. 211 treasurecoast.orq Program Title: 211 HelpLine I Agree - By checking the "I Agree" box and entering your name below, you certify that information contained in this application accurately reflects the activities of this agency and that the expenditures or portions thereof for which County funds are being requested are not reimbursed by any other source. Name: Alix Allison Title: Grants and Compliance Manager :sneT aescnption OT the Program for wnicn tunding is requested: The 211 HelpLine is the only existing 24/7, completely free and confidential community helpline and crisis hotline that serves the residents of Indian River County by providing information, resources, and emotional support, including crisis intervention and suicide prevention services. It can be overwhelming for individuals to navigate the complex network of health and human services programs and to know where they can turn for help, especially when they are experiencing a crisis. By reaching out to 211, these individuals can instantly be connected to one of our highly trained Resource Center Specialists, who are able to use their active listening skills to identify the individual's immediate needs and link them to appropriate sources of assistance. For those who are in extreme distress, even to the point of suicidal ideation, 211 offers support in the form of a non -judgmental, listening ear from someone who cares to help de-escalate their current crisis situation. During times of disaster, like the current COVID-19 pandemic, the 211 HelpLine acts as a central hub of all disaster -related information and resources to keep members of our community safe and informed. All of these services are available to any resident of Indian River County, regardless of their age, race, ethnicity, gender, sexuality, religion, socioeconomic status, etc. Additionally, these crucial services are easily accessible over multiple platforms including via phone, text, email, chat, and independent searches through our online database of resources. Any time of the day or night, the 211 HelpLine is here to support the residents of Indian River County through every crisis that they are facing, often being a caring voice that can save lives. summary Keport Amount requested from Indian River County for 2021/2022: Total Proposed Program budget for 202112022: Percent of total Program budget: Current Funding (2020/2021) Dollar increase / (decrease) in request: Percent increase / decrease in request: If request increased 5% or more, briefly explain why: N/A We are requestinq a modest 2% increase. $10,855 $570,900 1.9% $10,642 $213.00 2% The Organization's Board of Directors has approved this application on (date): 05/17/2021 Name of President/Chair of the Board Name of Exec. Director/CEO: Ty Barnes Sharon L'Herrou EXHIBIT A