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Boys & Girls Club of Indian River County, Inc. — Sebastian Branch Grant Application to the Children's Services Advisory Committee PROGRAM COVER PAGE Organization Name : Boys & Girls Clubs of Indian River County, Inc. Executive Director: Jay McNamara (acting) Email : jU071728@hotmail . com Address : P . O . Box 3068 Telephone : (772) 299 -7449 Vero Beach, FL 32964 Fax : (772) 299-3840 Program Director: Christy McBurney Email : CMcBurney BGCAhotmail . com Address : P . O . Box 3068 Telephone : (772) 388 -4944 Vero Beach, FL 32964 Fax : (772) 388 - 0904 Program Title Sebastian Branch Priority Need Area Addressed: Mental Wellness Issues & Childcare Access Brief Description of the Program : Taxonomy Definition for Boys/Girls Clubs - PS-980. 1 Programs that provide a wide range of supervised recreational activities and delinquency prevention services for children and youth of all ages and backgrounds, but particularly for disadvantaged youth, through membership in boys and/or girls clubs . Members are entitled to use recreational facilities and may have access to counseling, tutorial services, employment assistance, gang programs, drug abuse and alcoholism prevention and other activities and services that direct their energies toward positive social goals and facilitate healthy personality development. SUMMARY REPORT — nter Information In The Black Cells Only) Amount Requested from Funder for 2004 / 05 : $ 60 , 000 . 00 Total Proposed Program Budget for 2004 / 05 : $ 229 , 684 . 00 Percent of Total Program Budget : 26 . 1 % Current Funding ( 2003 / 04 ) : $ 30 , 000 Dollar increase / ( decrease ) in request : $ 30 , 000 Percent increase / ( decrease ) in request * * : 100 . 0 % Unduplicated Number of Children to be served Individually : 500 Unduplicated Number of Adults to be served Individually : 160 Unduplicated Number to be served via Group settings : 448 Total Program Cost per Client : 207 . 30 * * If request increased 5 % or more, briefly explain why : Increased funding is needed to reduce the Sebastian Branch waiting list increase participation of our target audience and improve the quality of our programs, such as the expansion of Club Tech to enhance the overall experience of our members . If these funds are being used to match another source , name the source and the $ amount : N/A The Organization 's Board of Directors has approved this applicati on (date). Wednesday, February 11 , 2004 Jay McNamara Name of President/Chair of the Board Sign ur Name of Executive Director/CEO ignature r ir- n4 tr It °mow r i �tT"Zsf �G;1�• a � a � ' a a d' -�Y . �J}r 4 �J" y` r r•.ir+"s`' +` , . . :i: N`aG`:°, y,• ;