Bucks For Kids Grant Application

Grant Application for Case Workers

Bucks for Kids is the LAST funding resort for Foster Kids needs when all other funding sources have been exhausted. Kindly provide as many details as possible. Bucks For Kids is a 501(c)3 Non Profit, incorporated by the Commonwealth of Pennsylvania in 1991. Bucks for Kids retains full discretion over the approval, denial or modification of all Grant Requests.
Date*

MonthDayYear
Case Worker's Name*

First NameLast Name
Child's first name & initial of last name*
Town*
Age*
School Level*
How long known to Agency? If in placement, how long? *
Client's interest/future plans:*
Has the child received a Bucks for Kids grant before?*

YesNo
If YES, please list date, purpose and how this child benefited from the grant*
Reason for this Grant request*
(If a camp request, please fill out camp info questions)
If the request is for daycare, state the status of the ELRC (Apple) application and if the daycare provider is licensed.
How will this Grant benefit the child? *
How many days/weeks?*
Cost per day/week?*
Deadline for deposit/payment?*
Total cost of the item/service requested*
Amount child/family can contribute*
Amount requested*
Make check payable to:*
Upload invoice or receipt

Browse Files

Cancelof
RECEIPTS

Receipts must be emailed to wendy@bucksforkids.org within 60 days after the grant award. All receipts MUST include the B4K case number.

If the receipt is not for the exact amount of the award, a full explanation shall be provided in the email.
CAMP INFORMATION

(fill out below section if applicable)
Weekly Camp Cost and number of weeks
Camp Description
Type of Camp
(ex. community, special needs, day or night)
Camp goals for child
Should be Empty:

Grant Application for Case Workers