Drew's Crew for Kids Application
Drew’s Crew for Kids provides assistance to help eligible youth participate in enrichment activities. The Drew’s Crew for Kids Board of Directors reviews all applications and all decisions and awards are within the discretion of the Board. All application information is kept 100% confidential Any financial assistance awarded will be paid to the program directly. Any equipment or supplies awarded will be provided in accordance with the program’s requirements and will be ready to use without a sales receipt, tags, or original packaging.
REQUIREMENT CHECKLIST FOR ELIGIBILITY
Live within the Waukee Community School District
Enrolled in school (preschool through 12th grade)
Application/Nomination signed by parent or legal guardian with all requested information provided
Commitment to attend a minimum of 80% of scheduled activity sessions (i.e. practices, rehearsals, games, classes, etc.)
Ability to provide documentation to support financial need to include at least one of the following:
o Previous year’s tax return
o Proof of enrollment in public assistance program i.e. Free/Reduced Lunch, Foster Care, Medicaid
o Proof of residence in government subsidized housing
FINANCIAL AID PRIORITY WILL BE GIVEN TO ELIGIBLE CHILDREN MEETING ONE OR MORE OF THE FOLLOWING
Member of a multi-child family and/or living in a single parent home
Recipient of public assistance
Written recommendation by school representatives, social workers, program administrators, clergy or other social services representatives
A decision cannot be made without all required information, so incomplete applications will not be processed. If the application is approved, Drew’s Crew will assist in facilitating registration for the desired program and assist as possible to make sure you have everything necessary to begin. Drew’s Crew cannot guarantee enrollment in any activity due to enrollment being managed by the programs directly. If the desired program is full or unavailable, every effort will be made to find an alternative. By registering for a program with assistance from Drew’s Crew recipients are representing the organization. Any behavior while participating in or interacting with a Drew’s Crew assisted program that reflects poorly
on Drew’s Crew may result in forfeiture of the benefits offered and/or future benefits. The decision regarding forfeiture is
solely in the discretion of the Drew’s Crew board of directors.
EQUAL OPPORTUNITY POLICY STATEMENT
No person shall be excluded from participation in, be denied the benefits of, or be subjected to discrimination through any assistance provided by Drew’s Crew for Kids on the basis of race, color, sex, gender, religion, creed, political belief, age, national origin, sexual orientation, socio-economic status, marital or familial status, disability or any other protected status.
Drew’s Crew for Kids does not discriminate against any applicant, nominee, employee, or board member because of race,
national origin, religion, ethnicity, citizenship, sex, gender, age, marital status, creed, sexual orientation, disability, veteran status, military status, or any other legally protected status. Drew’s Crew for Kids does not discriminate against any nominee, applicant, or nominator for benefits on any of the above criteria and is committed to the promotion of diversity in all of its assistance. All board members and staff are expected to uphold and further this policy in all work of Drew’s Crew for Kids.
If you have questions or concerns throughout the process, please contact Drew’s Crew at the email listed above or by
phone at (515) 339-5145.
First and last name
Preferred Method of Contact
Best time to be contacted (check all that apply)
Number of Adults in Household
more than 2
Number of Children in Household
more than 5
Name of Guardian's Employer (if applicable)
Total household gross annual income (from all sources)
less than $20,000
more than $45,000
Public Assistance Receiving (check all that apply)
Primary Language Spoken in Home
Participant Date of Birth
Prefer not to say
Preschool (including Pre-K and Transitional Kindergarten
Grant Ragan Elementary
Maple Grove Elementary
Walnut Hills Elementary
Woodland Hills Elementary
South Middle School
Waukee Middle School
Waukee High School
Program/Activity Applying for (be as specific as possible)
Program Start Date
Cost of Program (if known)
Equipment/Supplies needed to participate in program
Has applicant received financial assistance to participate in activities previously?
If previously received financial assistance for activities, please explain:
Describe applicant's previous experience (if any) with requested or similar activity
Please explain the reason(s) that the participant applicant would like to be or should be considered for assistance from Drew’s Crew for the program identified in the application.
How I heard about Drew's Crew
Referred by School Counselor/teacher/principal
Referred by other community resource (i.e. Food pantry, Community Closet, church)
Drew's Crew website
Community outreach program (summer free lunch program, Warrior Kids Challenge, etc.)
I attended a Drew's Crew program (Soccer clinic/league, Story Time in the Parks)
Referred by friend
Following completion of activity, I would be willing to provide a testimonial and/or photo for Drew's Crew to use in promotional materials
By checking the box below, I certify that the above information is true and complete to the best of my knowledge. I understand that any misuse or abuse of any assistance provided or failure to comply with the above requirements may result in forfeiture of the awarded benefits, and/or the inability to receive assistance from Drew’s Crew for Kids for a period of at least one calendar year thereafter.
By checking the box below, I agree to indemnify, defend and hold Drew’s Crew for Kids harmless against any claim or third party claim (including, but not limited to, claims of governmental agencies) arising from the alleged acts or omissions of any potential program, or its employees, agents or subcontractors in connection with assistance to be performed or arising from any potential injury or harm that may occur as a result of the use of any equipment provided as part of the assistance or program. Applicant agrees to notify Drew’s Crew for Kids promptly in writing of any such claim or suit. Drew’s Crew for Kids shall have the right to hire its own counsel solely for the purpose of monitoring any such action. Drew’s Crew for Kids shall not be liable for any costs or expenses incurred by Applicant without Drew’s Crew for Kids’ prior written authorization. The liability limitations set forth in this Agreement shall not apply to indemnification obligations. DREW’S CREW FOR KIDS SHALL NOT BE LIABLE FOR ANY DAMAGES ARISING AS A RESULT OF PARTICIPATION IN ANY PROGRAM OR USE OF ANY EQUIPMENT. THIS LIMITATION OF LIABILITY WILL APPLY REGARDLESS OF THE FORM OF ACTION, WHETHER IN CONTRACT OR TORT, INCLUDING NEGLIGENCE AND SHALL APPLY WHETHER OR NOT A PARTY HAS BEEN APPRISED OF THE POSSIBILITY OF SUCH DAMAGES. NOTWITHSTANDING THE FOREGOING, THE PROVISIONS OF THIS SECTION SHALL NOT WITH RESPECT TO ITS OBLIGATIONS TO INDEMNIFY.
A copy of your responses will be emailed to the address you provided.
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