REQUEST FOR FUNDS FOR CHILDREN IN FOSTER CARE

The primary goal of the Friends of Foster Children of Southwest Florida is to enrich the lives of children in foster care by providing funds for needs and activities that increase a child's confidence, talents and self esteem. These may include, but are not limited to: art, music, dance, athletics, sporting equipment, clothing, educational materials, emergency assistance/supplies and activities such as class trips, graduation events and summer camp. We do not accept applications for reimbursement of expenditures. Only children under DCF supervision may qualify.

ALL information on this application will remain CONFIDENTIAL.





ALL APPLICATIONS MUST MEET WITH THE APPROVAL OF THE CARETAKER.

Has approval been obtained?



If not, please explain

Who initiated this request?


I am requesting funding for the above named child for the following purpose: (give details)

If request is an ongoing activity, how long will the funding be needed?

Is there a deadline or time frame by which funds are required?

Have you been denied by Children's Network?

In what way, do you feel, approval of this request will enrich the life of this child?

The check should be MADE TO the following PROVIDER (if applicable).



DCF/CMO CASE MANAGER INFORMATION

(**GAL or “OTHER” must include this information)