Applicant Information

To be eligible for an award from the AFFCF Focus Forward Fund, youth must:

- Have reached age 16 as a ward of the court of Arizona or in Tribal foster care in Arizona

- Be enrolled in college or a vocational program (must be enrolled in post-secondary education, not dually enrolled in high school)

- Be age 16 - 26 years (under age 27)

All applicants will be requested to complete a budget form to show sources of income and expenses. Active employment is preferred when considering requests, but all requests will be reviewed and discussed on a case-by-case basis.

Please remember that AFFCF cannot reimburse goods or services without prior approval by AFFCF.

Applicant First Name: *

Applicant Last Name: *

Applicant Mailing Address: *

Apartment number (if applicable):

City: *

State: *

Zip Code: *

County: *

Applicant Phone Number: *

Applicant Email Address: *

Student Information

Student First Name: *

Student Last Name: *

Date of Birth: *

	Month		Day		Year
Select month, day, year

Student's Ethnicity

Gender *

Same Address:

Student Address Same as Applicant

Student Mailing Address: (include city, state and zip if different from applicant) *

Student's e-mail address (if not entered above):

Student's phone number (if not entered above):

County Where Student Resides: *

Student's Employer (if applicable):

DCS/Tribal Caseworker First Name (if applicable):

DCS/Tribal Caseworker Last Name (if applicable):

DCS/Tribal Caseworker Phone Number (if applicable):

DCS/Tribal Caseworker Email (if applicable):

Keys to Success Participant *

Yes

No

Currently Participating on Voluntary Agreement with DCS? *

Yes

No

Name of the college or vocational program where you are studying? *

Upload Current Class Registration (must show your name on it) *

Upload a recent (within the past week) class document or communication (must show your name on it). This can be a screen shot of your student portal to show that you are currently working on class material. *

Upload Budget: (Click here to download and complete the required budget template. Please list ALL your sources of income (DCS subsidy, ETV funds, wages, etc.) and ALL of your expenses on the budget template.)

Please either upload the Excel document budget or a PDF of the Excel document budget. AFFCF cannot open .numbers files (Excel for Apple), which is why it is not an accepted file type. *

Upload proof of employment (if applicable) - please do not upload any document that shows your personal information, like your social security number:

Upload Unofficial Transcript (must show your name on it): *

Note: If you are unable to attach documenation to this form, you can email it to Jasmine Flores at jflores@affcf.org or fax it to 623.487.3392.

Award Information

I am requesting: (select one) *

Total Amount Requested * 🛈

Date Needed By * +

Cost Documentation: * 🛈

Cost documentation (if more space needed)

Photo of your vehicle registration or title (if you are requesting the Auto Repair category):

Vendor: (check made payable to - this should be a company or landlord name, please do not put your name) *

Note: If you are unable to attach documenation to this form, you can email it to Jasmine Flores at jflores@affcf.org or fax it to 623.487.3392.

Tell us why you need this request. If you have a complex situation, please provide all of the details in this section. Not providing all of the details to AFFCF up front can lead to delays or delay AFFCF in understanding that your application may not be eligible: *