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STATE AGENCY REQUEST FOR FUNDING FROM INDIAN RIVER COUNTY <br /> FISCAL YEAR 2015/2016 <br /> A. Program Cover Page <br /> Agency: Guardian ad Litem Telephone: (772)785-5804 <br /> Contact Person: Vern Melvin Fax: . (772)785-5869 <br /> Title: Circuit Director E-Mail: vern.melvin@gal.fl.gov <br /> Address: 584 NW University Blvd. cc: celia.garciaggal.fl.qov <br /> Suite 600 <br /> Port St. Lucie, FL 34986 <br /> Website Address: www.quardianadlitem.orq <br /> Program Title: Guardian ad Litem <br /> I certify that information contained in this application accurately reflects the activities of this agency and <br /> that the expenditures or portions thereof for which County funds are being requested are not reimbursed <br /> by any other source. <br /> 7-42- , Mi`----- Vern Melvin, Circuit Director ' <br /> Signature Print name and title <br /> Brief Description of the Program for which funding is requested: <br /> The 19th Circuit Guardian ad Litem Program is a partnership of community advocates and professional <br /> staff providing a powerful voice on behalf of abused, neglected or abandoned children who are involved in <br /> court proceedings in Indian River, Martin, Okeechobee and St. Lucie Counties. <br /> Summary Report <br /> Amount requested from Indian River County for 2015/2016: $91,959.13 <br /> Total Proposed Program budget for 2015/2016: $399,822.29 <br /> Percent of total Program budget: 23% • <br /> Current Funding (2014/2015) $87,385.33 IRC Portion <br /> Dollar increase/decrease in request: '$_.,_5.73:__0" <br /> . <br /> Percent increase/decrease in request: ;5`:23461O,:::.7:., <br /> If request increased 5%or more,briefly explain why: <br /> Due to serious issues with our Internet connection/bandwith;we are requesting to upgrade our bandwidth. <br /> We have attached a quote and explanation from St. Lucie County Information Technololgy. <br /> The budget includes normal yearly increases such as the rent/CAM. <br /> The Organization's Board of Directors has approved this application on(date): <br /> Name of President/Chair of the Board Signature <br /> Name of Exec. Director/CEO Signature <br /> 67 <br />