The DKF Application - Verification

What is your role in this request?

Please select as many as applicable.

Coach

Team Parent

Booster Club Volunteer

Teacher

Counselor

Social Worker

Church Pastor

Other

What organization are you associated with?

Your name (first and last)

Your email address:

Child's first name:

Child's last name:

How long have you known this family?

Less than 6 months

6-12 months

1-3 years

3-5 years

5+ years

From what the family has shared with you, do you believe this family is in need of financial assistance?

Yes, I am certain they need assistance

No, I do not believe they need assistance

Has this family in year's past, or does this family currently, volunteer at your organization?

Yes

I'm not sure

Is this the first time the family has requested assistance (that you're aware of)?

Yes

I'm not sure

Regarding the family's inability to pay 100% of the fees: Is this is a short-term situation or a long-term situation that the family faces?

Short-term situation (this assistance will help as they take steps to improving their financial situation)

Long-term situation (low-income and/or there does not appear to be an end to need at this time)

Please explain the family's situation in your own words.

Do not copy and paste from the family's application.

Have you validated the information that was sent to you, prompting you to visit this application to complete the second half of the request?

You are our eyes and ears in the community!

Yes

If The Dave Krache Foundation is able to provide assistance, what organization should the check be made out to?

Please verify this, as checks cannot be made out to individuals nor can they be reissued.

If The Dave Krache Foundation is able to provide assistance, where should we mail the check?

Address, including city, state, and zip, should NOT be a home address. Please verify this before submitting: This cannot be changed and checks cannot be re-issued. The Dave Krache Foundation is not responsible for checks mailed to wrong addresses. Please allow 5-7 days for the check to be received once issued.

Our small group of volunteers review application packets on the first Tuesday of each month. Complete application packets (this includes the parent application AND the verification response) are needed before the first Tuesday in order to be reviewed for assistance. If a question is not answered below, it may delay the application. Any errors may result in delay or ineligibility of your request. By entering your name below, you are confirming that you understand.

I understand

This form has been completed to the best of my knowledge. I understand that this form will be used for Foundation purposes only. I understand that the application may receive partial, full, or no funding and that the decision of the Foundation's Board is final. I understand that I will be contacted within 3 business days with the decision of the Foundation and that all checks from the Foundation will be made out to the Park/League/Organization directly to be credited to the child’s owed fees. I understand that if the child decides not to register after monies have been received, the Foundation shall be reimbursed.

The DKF Application - Verification

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