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' substance Abuse Council of Indian River County PREVENT! Indian Riva County CSAC <br /> PROGRAM COVER PAGE <br /> Organization Name: Substance Abuse Council of Indian River County <br /> Executive Director. Colette Heid MS Ed., CAPP E-mail: saciro(a2bellsouth.net <br /> Address: 1151 19'h Street Telephone: 772-77011811 <br /> Vero Beach. Florida 32960 Fax: 772-7704822 <br /> Program Director: Colette Heid E-mail: <br /> Address: Telephone: <br /> Fax: <br /> Program Title: PREVENT ! <br /> Priority Need Ares Addressed: Mental Wellness Issues / Substance Abuse Coumselinu <br /> RP-450.050, PB-183. LX-825. ajO: (According to Me Tswnornv ofHuman Services) <br /> Brief Description of the Program: The PREVENTI pmgram is a 10 week individual and groom <br /> counseling program that is targeted at reducing and preventing substance use/abuse among IRC youth <br /> This program is designed to chancre adolescent and parental cerceotions of risk vs benefits of ATOD use <br /> Additionally, this program provide communWty wide prevention education via the DEEP Impact TARGET <br /> trovae. <br /> SUMMARY REPORT — (Enter Information In The Black Cells Only) <br /> Amount Requested from Funder for 2006/07 : $ 869414 .00 <br /> Total Proposed Program Budget for 2006 /07 : $ 86 ,414 . 00 <br /> Percent of Total Program Budget: 100 .0 % <br /> Current Program Funding (2005 /06) : $ 562416 <br /> Dollar increase/(decrease ) in request : $ 29 ,998 <br /> Percent increase/(decrease) in request * * 53 .2 % <br /> Unduplicated Number of Children to be served Individually : 130 <br /> Unduplicated Number of Adults to be served Individually : 55 <br /> Unduplicated Number to be served via Group settings : 6 ,000 <br /> Total Program Cost per Client: 13 . 97 <br /> **If request increased 5% or more, briefly explain why: <br /> If these funds are being used to match another source, name the source and the $ amount: <br /> The Organization 's Board ofDirectors leas approved this application on (date). 5/17/06 <br /> Fred J Chairman <br /> Name of President/Chair ofthe Board Signature <br /> Colette Heid. CAPP Executive Director <br /> Name of Executive Director/CEO Signature <br /> 3 <br /> s� <br />