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The Gifford Youth Activity Center, Inc. — Cummer Cultural Camp Indian River County Children 's Services Advisory Committee PROGRAM COVER PAGE Organization Name : Gifford Youth Activities Center. Executive Director : Michael S . Hubler E-mail : mhubler@gyac . cc Address : 4875 43rd Ave . Telephone : (772) 794- 1005 x22 Vero Beach, FL 32967 Fax : (772) 569 - 5563 Program Director : Paul Baker E-mail : pbaker@gyac . cc Address : 487543 rd Ave . Telephone : (772) 794- 1005 x Vero Beach, FL 32967 Fax : (772) 569-55563 Program Title : Summer Cultural Camp. Priority Need Area Addressed: Mental Wellness ; Childcare Access Brief Description of the Program : Two week summer camp , scheduled in the two weeks prior to the start of the school year, emphasizing the arts through the use of team work and visual , musical and performing arts, reinforcing the six pillars of Character Counts . Held during a time when other options for child care are limited. Culminates in a grand finale, where parents/guardians are invited to participate . SUMMARY REPORT — (Enter Information In The Black Cells Only) Amount Requested from Funder for 2005 / 06 : $ 55 , 549 . 95 Total Proposed Program Budget for 2005 / 06 : $ 632180 . 00 Percent of Total Program Budget : 87 . 9 % Current Program Funding ( 2003 / 04 ) : $ 533000 Dollar increase / ( decrease ) in request : $ 25550 Percent increase / ( decrease ) in request * * : 4 . 8 % Unduplicated Number of Children to be served Individually : 300 Unduplicated Number of Adults to be served Individually : - Unduplicated Number to be served via Group settings : - Total Program Cost per Client : 210 . 60 * * If request increased 5 % or more, briefly explain why : If these funds are being used to match another source , name the source and the $ amount : The Organization 's Board of Directors has approved this application on (date) . John Dean Name of President/Chair of the Board Signature Michael S . Hubler Name of Executive Director/CEO Signature 3