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). Reimbursement is paid in the form of Visa gift cards in denominations of $25, $50 or $100, as near to the total cost as possible.

*Funds are given out on a First Come, First Serve basis.
Caregiver Name

First NameLast Name
Foster Child's Name

First NameLast Name
Child's relationship to Caregiver
If "Other", please describe
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 or N/A
Social Worker's Office Location or N/A
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 sponsors 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
Have activity fees been paid for and requesting reimbursement?
Name of Person to Reimburse (If different than care giver)

First NameLast Name
Address of Person to Reimburse (If different than care giver)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PLEASE NOTE FOR REIMBURSEMENT:

Copy of Receipt(s) showing your payment MUST be provided to Homes of Hope within 30 days of your payment.

TWO WAYS to Send receipts:

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

2) Direct mail or drop off 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 return your call. Thank you!
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