Okaloosa County BOCC — July 1, 2014 — OCSO LETF Request - Youth Village

Sherttt eriff Headquarters: 50 2°4 Street, Shalimar Florida 32579-1234 Phone: (850) 651-7410, Email: Shenff@sheriff-okaloosa.org June 9" 2014 Agenda Request: LETF Disbursement Request, June 17", 2014 Agenda To: Mr. Ernie Padget, County Adminstrator From: Inspector Sean T. Lynch, Professional Development Re: State Law Enforcement Trust Fund Request board consideration of trust fund disbursement in support of: 1. Youth Village, $1500 Total Disbursement Requested: $1500 The Okaloosa County Sheriff's Office is accredited by the Commission for Florida Law Enforcement Accreditation ‘The Okaloosa County Sheriff's Office provides equal access and equal opportunity in employment and services and does not discriminate” ULE LOO PUP NGL Lsowds PSlbb TO: 6893848 P24 OKALOOSA COUNTY LETF APPLICATION PROGRAM INFORMATION Program Title: Youth Village Summer Camp Name/ Title of Contact: [Nellie Bogar, Founder/Executive Director . Addrens: 312 Peiham Road Phone: 82-0549 City » Zip Coder Ft, Walton Beach 32547 Fax: 897-3166 Total Program Budget: ($95,256.14 E-mail: njbogar@yahoo.com © New | Renewal } Amount : Program is: ° C] Requested: $1 ,900.00 if renewal, circle auxaber of years this program hag been funded thru LETF? wv / A. fy APPLICANT AGENCY INFORMATION Applicant Agency Legal Name: Youth Village, Inc. Program Name: Youth Village Summer Camp Main Administrative Address:P.O, Box 307 City & State: Niceville, FL. Zip Code:32588-0307 Telephone Number:§82-0549 Fax Number: 897-3166 Websitewwww.nelliesyouthvillage.org CHO /Exeentive Director Nellie Bogar Office Phone Number: 863-4446 E-mail Address:njbogar@yahoo,com Federal Identification Number: 20-13 19298 LETF CATEGORY (Place an “X” to the Jeft of one program area for which you Intend to Apply): Cc] i, Crime Prevention a 2, Drug Abuse Prevention/Education 3. Safe Neiphborheod Co 4, School Resource Officer Cl 5, Other Law Enforcement Purpose (specify below) Received Time May. 15. 2014 7:41PM No, 2513 FEET LOT CE I LO. OU Tim Neu LOV007 1 LOO Tus Demo reor PROPOSED PROGRAM INFORMATION i. Program Swmatary (1-3 scntenoes): Provide an overview of program services, Youth Village was founded in 1299 to provide a safe place for children ages 5-16 in the Greater Ft. Walton Beach ares. ‘The majotiy of our children hail from fow-incoma, single-parent households. We provds homework/computer assistance, life skills training, Ftiness and Nutrition Classes, Anti Bullying techniques, Monthly Career Presentations, Ant-drug seminars, Monthly Birthday celebrations, arts and crafts and The Fine Arts. 2. Préyram Purpose (1-3 sentences)? Pleare identify the services, target population and how many will be served while completing the following statement, The purpose of this program is... to provide a variaty of direct services to the children of our community to help tham imprave thelr grades in school and encourage enthusiasm forlaaming. We also strive to help thom Improve their social skills and social behavior, establish moral responsibility, increase student community service and develop lifelong goals and ambitions which will help them grow into responsible, self-cufficient members of society. Since our beginning, we have served aver 800 children. 3. Proposed use of LETF proceeds: Please identify the proposed use(s) of LETF proceeds and gpocify how ir fulfills the statutorily authorized user ser forth in Section 932.7055, Florida Statutes. These proceeds shall not be utilized 10 moot normal operating nouds of the applicant ageney/organization, The LETF proceeds will be used to provide scholarships to 2 children who otherwise could not afford to attend our summer camp. This is 2 10 week camp which bagins on Monday Juno 9 and ends on Friday August 15. 4. Has your agency received funding from LETF within the last three (3) years? (if yes, identify the souree of that funding, when it was recoived and the dollar amount that the agency kas received). no 5. Have you applied for funding for this program from any other entity or agency? (If you, identify the source from which the funding was sought, tho dollar amount requested from the soureo and provide the outcome of that appliention). no Received Time May. 15. 2014 7:41PM No. 2513 Pt LOT ekY LO PRUs NLL LEDUSS OLD 1Us oer ree Upon completing this application in its entirety, please read the following statcment and affix your Signature accordingly. { have read, fully understand and agree to he bound by Okaloesa Coumty’s Operating Procedures for Law Enforcement Trust fund and applicable state statutes. | have completed this application fully and accurately and have not misrepresented any information contained hercia. 1 certify that the requested funds will be used for the purposes set forth in this application and in conformity with Florida law. T agree to submit proper supporting decumcutation within almety (90) days of expending the LETF proceeds, which establishes that such proceeds were expended for the purposes they were approved and in conformity with Florida law. U further agree that should I fail to provide such documentation within the specified time peried, I will be responsible fer reimbursing Okaloosa County fer the amounts reeeived. \UL Gra, May 15, 2014 Signature of Apflicant Date of Application Nellie Bogar Print Name of Applicant OFFICIAL USE ONLY I, Larry R. Ashley, de hereby certify that the Section 9329055, Florid, ey J Sheriff Larry K. Ashley eftiGhed request for LETF proceeds is in compliance with Board of County Commissioners: Approved/Disapproved Date: Amount approved: $ Received Time May. 15. 2014 7:41PM No. 2513