AMP Foster Funds (July 1, 2023 - June 15, 2024)

Foster Funds Grant Request (07/01/23 - 6/15/24)

Foster Funds are used to reimburse caregivers who pay for activities or goods to promote social, cultural or developmental activities for youth in foster care.

Eligibility is for youth 14 through 20 years of age in any type of HHS or JCS supervised "out of home" placement (family foster care, relative care, QRTP/group care, Supervised Apartment Living (SAL), CWES/shelter care, or other approved suitable placement). Foster Funds do not require the placement to be licensed or paid by the state.

Please complete the application below and provide all appropriate PAID receipts or invoices as indicated. Please note applications that are received without paid receipts and/or business invoices cannot be processed. Grants awarded are at AMP's sole discretion; some youth may not be awarded.

Every item or opportunity that is granted any amount of funding is meant for the youth and must accompany the them if they they leave their current placement.

If you have any questions regarding Foster Funds or the process, please email amp@yss.org.

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* 1. Date of Application

Date / Time

Date

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* 2. Date funding is needed by (Please note that most Requests may need 1-2 weeks to process.)

Date / Time

Date

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* 3. Please provide the following information about the youth receiving the funds:

Youth's First and Last Name:

Date of Birth:

Age (Must be 14 at time of Request):

Grade Level:

AMP Council Youth is currently connected with (if applicable):

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* 4. The type of placement the youth currently resides in

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* 5. Please provide the following information about the Resource Family or Facility the Youth is currently residing in.

Name of Resource Parent or Facility:

Street Address:

City:

State:

Zip Code:

Email Address:

Phone Number:

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* 6. Please provide the following information about the Youth's Case Worker:

Case Worker's Name:

Case Worker's Agency:

Case Worker's Email Address:

Case Worker's Phone Number:

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* 7. Please provide the following information about the Grant Request

Amount requested (Maximum is $400 per youth per fiscal year):

Please provide a full description of the grant request including itemized items and amounts:

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* 8. Please indicate which categories best describe the items or opportunities covered by the Grant:

Sports Registrations

Sporting Equipment Costs

Swimming Lessons

Summer Camps (One Week Max)

Music Instruments or Lessons

Tae Kwon Do

Gymnastics/Dance

Prom Attire

Senior Class Experiences (Class Trips, Rings, Year books, etc.)

Senior Photos

Graduation Expenses

College Application Fees

Bicycles

Child Passes (Pool Passes, Science Center Passes, Zoo Passes, etc.)

Furniture for the Youth Aging Out

Electronics

Funds toward a Car Purchase

Costs Associated with SAL

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* 9. Who should the check be written out to?

Foster/Relative Parent

Foster Teen

Shelter Provider

QRTP Facility

SAL Provider

Other (please specify)

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* 10. Where should the check be mailed?

Placement Address Listed Above

Business/Vendor Address Listed Below

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* 11. Please Provide the Mailing Address for where the check should be mailed to:

Name

Company

Address

Address 2

City/Town

State

ZIP/Postal Code

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* 12. Would you or the youth like additional information regarding upcoming AMP events and to be connected to the AMP Council near you?

Yes

I already receive Updates

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* 13. Please attach all supporting documents including PAID receipts and invoices. Please note all items must be purchased during the same, current fiscal year July 1, 2023 - June 15th, 2024. If you have trouble uploading documents, please email them to amp@yss.org and provide your name and the name of the youth associated with the Foster Funds request.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 14. By entering your name below you are signifying the information provided is accurate and agree to the parameters and expectations set forth by AMP upon receipt of the Grant.

Signature of the Youth's Resource Parent or Case Worker: