Grant Form - NFFC

Terms & Conditions:

Caseworkers, foster parents, or service providers may apply for grants for foster children under the age of 19 who are currently state wards and in out-of-home care.
All grants must be submitted on this form.
Grants may take six-to-eight weeks for approval.
NFFC may be able to respond to emergency requests more quickly.
Typically, NFFC makes payments directly to vendors. Reimbursements are provided with a copy of the receipt.

Frequently Funded Items:

Educational assistance, school supplies, sports/activity fees, drivers education classes, summer camps, graduation caps and gowns, senior pictures, prom attire, music and dance lessons, recreational sports, and cultural activities.

Grant Application

Foster Parent or Provider First Name(*)

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Foster Parent or Provider Last Name(*)

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Address Line 1(*)

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Address Line 2 (Apt)

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City(*)

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State (*)

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Zip Code(*)

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Primary Phone(*)

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Alternate Phone

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Email(*)

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Names of child/children in care(*)

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Child's/Children's date of birth (DD/MM/YY)(*)

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Child's/Childrens Current Age(*)

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Type of placement

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Length of time at current placement (*)

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Medicaid Managed Care Organization the child is enrolled in:

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Placement agency(*)

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Caseworker(*)

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Address of agency or caseworker

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Phone

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Agency or caseworker email

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Specific description of request:(*)

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Dollar amount requested:(*)

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Make checks payable to (checks must be made to the supplier of service or attach a receipt) (Include: Address,City,State,Zip)(*)

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Upload an attachment

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(*)

I agree to terms and conditions

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