Financial Assistance Application

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The Duke of Edinburgh’s International Award USA works with foundations and corporations to provide young people in need financial assistance that will allow them to fully participate in the Award without economic barriers. Financial assistance is available as funds are available and it is not guaranteed.

Eligibility for Need-Based Financial Assistance:

Financial assistance is currently only available to support Participants from low-income households and/or who have high financial barriers, who would not otherwise be able to take part in the Award. Low-income is defined as households that qualify for free- and reduced-rate lunches within public schools, are Pell-grant eligible, and/or have a household income at 150% of the federal poverty level. By submitting an application, your family qualifies as low income.

Requirements for Funds:

Applications are considered on a rolling basis. For Award Centers, be sure to include the names of all eligible low income Participants in your request. To ensure that financial aid funds can be distributed to as many low income participants as needed, we encourage them to please consider the most cost-effective options for their activities, and to select activities with reasonable cost. We will not be able to accommodate activities that require expensive equipment as part of the financial aid offer. When possible, we hope that participants can rent or borrow expensive equipment in order to preserve funds for other low income participants.

· Financial Assistance will be awarded for the following types of activities for Participants:

Payment of the Participant Registration Fee
Activities and/or equipment to fulfill a Participant’s skill, service, physical recreation, and Adventurous Journey section not to exceed $300 total
Training fees for adult volunteers or staff as Award Coordinators and Award Center Adventurous Journey Supervisors if they serve low-income, economically disadvantaged young people. This is not available for independent AJ Supervisors Assessors

Who is applying for financial assistance?

Award Center/Participant Profile

Your First and Last Name

Participant Email Address

Parent/Guardian Email Address (if under 18)

Your Street Address (Include any building or apartment numbers)

City

State

Zip Code

Award Center Name

Award Coordinator Name(s)

Award Coordinator Phone

Award Center Street Address, City, State, and Zip Code

Which of the following describes the populations served at your organization or institution? Select all that apply.

Twenty percent or more qualify for free or reduced-price school lunch	Teenage Parent
First Generation Immigrants	Homeless or Housing Insecure
Engaged in Juvenile Justice System	First Generation College Student
Students with Disabilities	Other--Please explain in narrative

Target Number of Enrollment for The Duke of Edinburgh's International Award USA Participation

	Number of Target Award Participants
Bronze
Silver
Gold
Total

Please select the areas for which you are applying for financial assistance.

Participant Registration Fee	Skill, Service, and/or Physical Recreation Sections
Adventurous Journey	Gold Residential Project
Training Fees for Award Center Volunteers/Staff

Documentation for Financial Assistance Requested

Participant Registration Fees

Which level did you register for?

Please list the name(s) and level(s) of participants who will be receiving financial assistance. If unknown, please indicate the target number of Participants requesting to receive financial assistance.

Skills/Service/Physical Recreation Sections

Please describe an example of the skills, service, and/or physical recreation activities you or your Participants will engage in if requesting assistance in that area. If equipment is required, please explain how the equipment will impact your activities.

Description of reasonable estimates for taking part in fee-based activities, transportation or equipment costs for any and all applicable sections.

Upload documentation to support cost estimate.

Adventurous Journey

Please describe an example of the Adventurous Journey that will be available to you or your Participants. If requesting financial assistance to purchase equipment, please explain how the equipment will impact your activities. Request not to exceed $300 total.

Upload documentation to support cost estimate.

Residential Project

Please describe an example of the Gold Residential Projects that will be available to you or your Gold Participants.

Upload documentation to support cost estimate.

Training Fees for Adult Volunteers/Staff

Please list the names of the Adult Volunteers/Staff who will be receiving financial assistance toward attending Award Delivery Training.

Accommodations/Transportation for Adult Volunteers/Staff

Please describe the accommodations and transportation cost estimates for Award Delivery Training.

Upload documentation to support cost estimate.

Narrative on Need for Financial Assistance

Why do you require financial assistance at this time? Please include the population served by your organization and funding streams available to your organization.

What impact and benefits are you hoping for in implementing an Award program with participants who identify as at-risk or low income?

Why do you require financial assistance at this time?

What impact and benefits are you hoping for in participating in The Duke of Edinburgh's International Award USA?

Please upload any supporting documentation (ie student essays, free and reduced price lunch rates, census data, etc)

Please either attach a copy of your Award Program budget, or fill out the following information.

	Number of Participants	Cost Paid by Participants and/or your Award Unit	Amount of Financial Assistance Requested	Total Cost
Bronze Fee ($100 per Participant)
Silver Fee ($125 per Participant)
Gold Fee ($150 per Participant)
Approx. Adventurous Journey Costs
Approx. Gold Residential Project costs
Award Adult Volunteer/Staff Training Fees
Accommodations and/or Transportation expenses for Award Adult Volunteers/Staff

Please attach a copy of your Award Program Budget.

Total Amount of Financial Assistance Requested

Please attach a copy of any supporting receipts or invoices.

Financial Assistance Agreement:

I have agreed to submit this application by electronic means. By signing this application electronically, I certify under penalty of perjury and false swearing that my answers are correct and complete to the best of my knowledge, including information provided about the financial need for each participant applying for assistance.

I certify that the financial assistance will be used to support Participants’ progress toward/achievement of the Award; that the above is truthful in the description of Participants engaged in our Award program; and we agree to provide the necessary documentation for expenses incurred.

I understand that funds that have not been accessed on behalf of these Participants 24 months after initial allocation will must be returned or, as applicable, will be released for allocation to support other young people doing their Award, if they do not complete their Award during that time.

I understand that this information about unit or personal situations will not be disclosed to anyone outside of the Award USA staff, although basic demographic information about the Participants in our Award program may be used along with that of others for reporting purposes.

To support future Participants in the Award USA in need of financial assistance, I agree to solicit from Participants’ written/creative feedback in the form of progress reports and/or participate in interviews about the impact of participating in the Award program to be shared with donors to Award USA financial assistance.Before funds are issued toward an Adventurous Journey and/or a Residential Project, each Participant’s consistent participation in other Sections will be verified. Be sure that Participants’ records are up to date in the ORB. A check will be issued directly to the RAP or business listed on the estimate after certification of ongoing participation in the Award.Upon completion of any area in which financial assistance was awarded, a list of expenses and corresponding copies of receipts for expenses will be submitted to my Program Officer or via this form.By checking this box and typing my name below, I am electronically signing my application. If awarded, this application certifies our agreement to use the financial assistance as outlined in this application and in providing additional documentation, if requested.

Your First and Last Name

Date

Authorizing Official/License Holder First and Last Name

Date

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