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Edit this Header. Tvoe the organization and program name and the funder for whom it is being completed. The page # is already set at the bottom <br /> right <br /> of every page. <br /> PROGRAM COVER PAGE <br /> Organization Name : H. O .P .E . Academy <br /> Executive Director: Hallicurtis W. Burson . E-mail : Brotherpreach@aol . com <br /> Address : 4875 43rd' Avenue Telephone : (772) 770-5759 L0 <br /> Vero Beach , FL 32967 Fax : (772) 562-6965 66 e <br /> Interim Program Director : Shekina Michelle E-mail : hone-cad@bellsouth . net � <br /> Address : 4875 43rd' Avenue Telephone : (772) 562 -4325 � <br /> Vero Beach , FL 32967 Fax : (772) 562-6965 <br /> )6 6 <br /> 00 <br /> Program Title : H. O .P .E Academy <br /> Priori Need Area Addressed: Parental Support and Education <br /> h' PP <br /> Brief Description of the Program : CSC Taxonomy Code HD-050 <br /> H . O . P .E . Academy focuses on treating special problems for children ages 7 - 18 . We also have a <br /> family component ; a monthly 2 hr. seminar that addresses parental empowerment . <br /> SUMMARY REPORT — Enter Information In The Black Cells Only) <br /> Amount Requested from Funder for 2005 / 06 : $ 9 5 . 00 <br /> Total Proposed Program Budget for 2005 / 06 : $ 869447 . 50 <br /> Percent of Total Program Budget : 53 . 6 % <br /> Current Program Funding ( 2004 / 05 ) : $ 1009000 <br /> Dollar increase / ( decrease ) in request : $ ( 35 ) <br /> Percent increase / ( decrease ) in request * * : 0 . 0 % <br /> Unduplicated Number of Children to be served Individually : 482 <br /> Unduplicated Number of Adults to be served Individually : - <br /> Unduplicated Number to be served via Group settings : 200 <br /> Total Program Cost per Client : 273 . 38 <br /> * * If request increased 5 % or more, briefly explain why : If these funds are being used to match <br /> another source, name the source and the $ amount : N/A <br /> The Organization 's Board of Directors has approved this application on (date). 5/17/05 <br /> Henry Burson, Jr <br /> Name of President/Chair of the Board Signature <br /> Name of Executive Director/CEO Signature <br /> 3 <br />