Shane Thurston Foundation Giving Fund – The Shane Thurston Foundation

Giving Fund Award Information
Due Date: Open application acceptance at this time
• Application valid for Tutoring Hours OR Art/Music Program Tuition (w/Supplies if needed) up to $500.
• Art supplies applications must have a supply list from a program or class being attended and the supplies will be purchased and sent to the recipient upon approval.
• Applicants must be in Kindergarten – 12th grade to be considered.
• Applicant must be a Colorado resident and attending a school within Colorado.
• Funds disbursed based on funds availability in the Shane Thurston Foundation Giving Fund.
• Applications are processed within 30 days of receipt.
• Funds are paid directly to the facility chosen for services awarded on behalf of the recipient.
• Facility provided must be a business, whether online or in-person that provides services that meet the Giving Fund criteria. Funds will not be dispersed to the recipients directly.
• Parent(s)/Guardian(s) please complete the application with input from the student recipient for questions.
• Please provide thoughtful responses to ensure the Foundation has as much information as possible to process the application.
• Funding may only be provided four times per child per year
• Approval acceptance agreement must be signed prior to funding. Note this does not create any financial liability to the recipient
• By submitting this form, you are agreeing that the applicant meets the above criteria.

*Application Date

*Application Type

New Previous Recipient of the STF Giving Fund

*Parent/Guardian Name

0/100

Parent/Guardian Phone Number

0/14

Street Address

0/200

Please provide your full address

City

0/50

State

0/40

Zip Code

0/15

*Email

*Student Name

0/50

*Student Age

0/2

*Student Grade

0/4

*Student School of Attendance

0/100

Previous Recipients ONLY: Reason for additional funds request?For example: Is this a continuation of the program initially funded? Is this a new program in a different subject?

Previous Recipients ONLY: What was the previous award received for, and how did it impact where you are now?

*How did you find out about this program?School/Website/Facebook/Family/Friend

*Facility to Receive FundingPlease provide the Name/Address/Phone Number for the facility desired for services. *Discounted rates may be available at certain service providers.

*Enrollment Status

Already Enrolled Awaiting Scholarship for Enrollment

*Amount Requested

0/7

Enter a value from $0 - $500

*Please explain financial need resulting in applying for this fundingDo you receive community assistance such as reduced lunches or housing/food assistance? Current circumstances resulting in additional need?

*Household Size

0/3

Number of household members including all adults

*Children in Home

0/3

Number of children currently living in the home

*Student Area of Concern/InterestTutoring Hours Applicants - Describe Area of Concern / Art/Music Program Applicants - Describe Area of Interest / Please be as descriptive as possible.

*Benefit of Receiving AwardPlease describe the benefit that would be gained from receiving this sponsorship award in NO LESS than 2 sentences.

*Learning Style

Individual Small Groups (2-3) Larger Groups (4-7)

Please choose which learning style works best for the student applicant

*Assistance NeededPlease describe where you feel additional assistance is needed. Please be as descriptive as possible.

*Favorite SubjectPlease describe applicants favorite subject in school and why in no less than 2 sentences.

*Least Favorite SubjectPlease describe applicants least favorite subject in school and why in no less than 2 sentences.

*Favorite Teacher/CoachPlease describe applicants favorite teacher in school and why. Name of Teacher is not necessary. Please be as descriptive as possible.

*Future GoalsPlease describe what the applicant wants to be when they grow up and why. If not known, please describe what the applicant does for fun and why they love the activity. Please be as descriptive as possible.

*How can we help?Please describe how gaining access to this program will help the applicant become what they want to be when they grow up? Please be as descriptive as possible with no less than 2 sentences. The Foundation truly wants to understand so that we can ensure we are providing the best services to our applicants.

*Do you approve sharing your answers with the awarded facility?

Yes No

*Applicants Parent/Guardian Signature

0/100

By typing your name above, you are agreeing that the applicant meets the defined criteria, that you are 18 years or older and have the authority to apply on behalf of the applicant.

Fields with (*) are Required.