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l-lopeS OUTCC <br />700 E Moultairr View Ava. <br />Suite 50.I. <br />Fliensburg, \rVA 98926 <br />P:509,9?5.1448 <br />F: 509.925.1204 www.hopes,:r.rtce. is <br />Exhibit A: Youth Recreation Scholarship Program Guidelines/ <br />Kittitas County-only funds <br />our mission is to mitigate the effects of poverty and other situations that place a child,s social and emotionaldevelopment at risk. The Youth Recreation scholarship is intended to tretp children participate in after-schoolsports activities. <br />ELIGIBILITY. Kiftitas county must have family incorne at or below 60% of Area Median Income. <br />' Children in foster care qualify with proof of placement in a licensed foster home or with relative caregiver,regardless of income, Child can temporarily reside out of county if Dependency case is within the KittitasCounty court system. <br />ADMINISTMTION <br />HopeSource will administer the disbursement of the Youth Recreation scholarship funds on behalf of KittitasCounty and other funders, such as the Law and Justice Council, City of Ellensburg, United Way and theShoemaker Foundation. <br />APPLICATION <br />s,-wrr{J-ap-gsp--ur.e-e,qg_lysuth:gqh.slarEtripc <br />Families interested in applying for a Youth Recreation scholarship will submit their application to HopeSourceeither o.nline or on paper, The application shall include the following: <br />1. Application form (includes address, contact information and infoimation about the activity the child isparticipating in) <br />2. Registration form or other proof of activity cost3' Proof of one month's income and names, birth dates and social Security numbers for each family member (oRinformation on tile with HopeSource current within the last year), <br />SCHOI.ARSHIP-FUNDED ACNVMES WTTH KITTITAS COUNTY FUNDS <br />Scholarships can help pay for orga.nized physical activities, which includes dance, gymnastics, swim lessons andpasses, spofts leagues and sportloutdoor day camps for children age 0-lB. The icholarship'may also be used forequiprnent for a specific activity if the equipment is necessary in ordir to pafticipate in that activity (for example,soccer cleats for a soccer league). <br />SCHOI.ARSHIP LIMITS <br />75o/o of the cost of a single activity, month of ongoing activity, or equipment. Limit of g150 per child per calendaryear, <br />Each parent/guardian should. anticipate making a monetary contribution to the activity. HopeSource mayconsider, on a case-by-case basis, paying the family's portion of the cost using discreiionary funds. <br />PAYMENTS <br />HopeSource will send payment directly to the organization responsible for the activity. The organization must beable to provide a W-9 form to Hopesource to receive payment. <br />12106/2022