North Pacific Yearly Meeting Youth Opportunity Fund
APPLICATION FORM

A.   Applicant Information

1.     (if a group, provide this information for each member of the group)

a.   Legal name

b.  Nickname/alternate name, if any

c.  Age (at time of application)

d.  Home meeting or worship group (if none, list ‘isolated Friend’)

e.  Mailing address

f.   Phone number

g.  E-mail address

h.  Preferred way to communicate (such as e-mail, text, phone)

 

2.     For a group:  Who will be the main point of contact for this YOF grant application?

 

3.     For any applicants under age 18, please provide information about parents or guardians:

a.   Name

b.   Phone number

c.   E-mail address

d.   Preferred way to communicate

(note that a parent/guardian’s signature is required for applicants under 18)

 

 

B.   Grant Information

1.     Amount requested from the Youth Opportunity Fund:

 

2.     How will you use this YOF grant? Please describe the event or activity, with dates, location, sponsoring organization (if any), and other details that will help the Youth Committee know what you hope to do.

 

3.     How do you think this experience will contribute to your spiritual growth as a Friend?

 

4.     How could you share the benefits of this experience with your Quaker community?

 

5.     What are the total expected costs of the activity you have planned? (including registration, travel, food/housing, supplies, etc.)

 

6.     Please provide any other information that will help the Committee understand your request.

 

 

C.   Signatures

1.     Applicant’s signature (either an individual applicant or the contact person for a group)

 

                                                                                                                                                                          

Signature                                                                                                      Date                                            

 

 

2.     Other signature(s) as necessary

 

                                                                                                                                                                          

Signature                                                                                                      Date                                            

 

                                                                                                                                                                          

Signature                                                                                                      Date                                            

 

                                                                                                                                                                          

Signature                                                                                                      Date                                            

 

Note:  For any applicant under 18, a parent/guardian must also sign & date the YOF application

 

 

 

Return this form (or written answers to all questions, signed and dated) by April 15 for the spring funding cycle or September 15 for the fall funding cycle, by e-mail (preferred method) to

youth_committee_clerk@npym.org

 

or by U.S. mail to

NPYM Youth Committee

C/O NPYM Secretary

3539 NE Fremont

Portland OR 97212