Milton Foster Children's Fund Application for Funding

The Milton Foster Children’s Fund (MFCF) is dedicated to helping foster children develop the resiliency necessary to become successful members of our community, allowing them to build a path that will lead them to a successful transition into adulthood. In reviewing applications for funds, highest priority will be given to requests for essential items that will add to their resiliency.

Name of person making this request:	A value is required.
Email address:	A value is required.Invalid format.
Contact number for person making request:	A value is required.
Child's Name:	A value is required.
Child's DOB:	A value is required.Invalid format. (mm/dd/yyyy)
Date of initial placement in foster care:	A value is required.Invalid format. A value is required.Invalid format. (mm/dd/yyyy)
Anticipate Discharge Date:	A value is required.Invalid format. A value is required.Invalid format. (mm/dd/yyyy)
Name of Foster Family or Group Home:	A value is required.
Foster Family or Group Home Address Street A value is required. City, State, Zip A value is required. A value is required. A value is required. Phone: A value is required.
Child's caseworker:	A value is required.
Caseworker Phone #:	A value is required.
Agency	A value is required.
Agency Address Street A value is required. City, State, Zip A value is required. A value is required. A value is required.
Amount of request ($):	A value is required.Invalid format.
Has this child applied for and received funds from MFCF previously?	No Yes
If yes, please briefly explain the details:
Describe the item(s) or services being requested:
What funding sources have already been investigated, and what were the results?:
Are you asking for full funding of this request or will we be participating in the funding with another agency or individual (include details)?
Please list the complete name and address of the individual to whom the MFCF committee should mail the funds, should this request be granted. This person will be responsible for ensuring all funds are used only for the purpose stated in this application and that the MFCF committee will receive a receipt for that purchase. NOTE: If you would like direct payment to a vendor, please give complete instructions, in addition to listing the responsible party.
Name:	A value is required.
Address Street: A value is required. City, State, Zip A value is required. A value is required. A value is required.
Special mailing instructions:
By checking the box below and submitting this application, I acknowledge that: 1. I will provide a receipt for good/services purchased to the MFCF committee. 2. Any unused funds will be returned to the MFCF committee w/in 30 days of receipt. 3. I will ask the child to send a Thank-You note that can be used anonymously for grant writing and reporting purposes. This will allow us to assist more children in the future! 4. Foster Child is placed through El Paso and Teller Counties.
I agree to these terms and conditions: Please make a selection.
	Note: If application does not submit, check through form for missing or incomplete information highlighted in red.