Scholarship Form

Scholarship Form

Children and Teens in Foster Families
Funds are limited to $200 per year, per child. Scholarships are paid by reimbursement (receipts must be submitted) or by invoice for us to pay directly. *Funds are given out on a First Come, First Serve basis.
Caretaker Name *

First NameLast Name
Foster Child's Name*

First NameLast Name
Age*
Grade*
Gender *
County *
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number *

Area CodePhone Number
Cell Phone Number

Area CodePhone Number
Email*
example@example.com
Social Worker's Name*
Social Worker's Office Location *
Social Worker's Phone Number*

Area CodePhone Number
Social Worker's Email*
example@example.com
Please describe what activity the scholarship request is for and why your foster child needs it. *
Also, if the scholarship is granted, a thank you note is greatly appreciated. Your child's story matters to our constituents and helps Homes of Hope receive additional grants for our foster families.
Amount Requested *
Activity Organization Name *
Activity Organization Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Person For Activity *
Contact Person Phone Number*

Area CodePhone Number
Contact Person Email*
example@example.com
Does organization need to be paid directly?*

YesInvoice sent to Homes of Hope?No
Have activity fees been paid for and requesting reimbursement?*

YesNo
Name of Person to Reimburse

First NameLast Name
Address of Person to Reimburse

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PLEASE NOTE FOR REIMBURSEMENT:

Receipt(s) MUST be provided to Homes of Hope within 30 days of dated receipt for reimbursement. No exceptions.

TWO WAYS to Send receipts:

1) Scan and email to: admin@homesofhopeidwa.org

2) Direct mail to: Homes of Hope, 818 17th Ave, Lewiston, ID 83501 (keep your own copy too)

Your testimonials are greatly appreciated! It helps us and our donors know how much help they have been to you.

Questions? Call 208-413-6770. Leave a message and we will promptly return your call. Thank you!
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