PLEASE NOTE: THIS APPLICATION IS FOR SCHOOL UNIFORMS ONLY. IF YOU ARE LOOKING TO RECEIVE ANY OTHER FOUNDATION ASSISTANCE, YOU WILL HAVE TO FILL OUT THE APPLICATION FOR ASSISTANCE FORM.
The information contained in this statement is for the purpose of obtaining funding from the DEMCO Foundation for the benefit of the undersigned (applicant). The applicant understands that the information provided will be used in deciding whether to grant funding, and individually represents and warrants that the information provided is true and complete and that the DEMCO Foundation may consider this statement as continuing to be true and correct until a written notice of change is provided. The DEMCO Foundation is authorized to make all inquiries deemed necessary to verify the accuracy of the statements made on this application, including credit information concerning the applicant. The applicant grants to the DEMCO Foundation the right to check any and all credit references with respect to the information contained in the application and the applicant waives any right to restrict the DEMCO Foundation’s access to such credit information. Applicant understands that if such credit information is made unavailable to the DEMCO Foundation, the DEMCO Foundation may reject the application. Information may be shared with an independent case manager and/or any other group of association providing assistance to persons in need. All information will be kept in the strictest confidence and will be used for the purposes intended.
I understand that the DEMCO Foundation has the right to fully audit the use of the donation at any time. I also understand that the DEMCO Foundation may use this application, if approved, for publicity and promotional purposes, but that my name and address will not be used for this purpose unless approved by me prior to the promotion.
RELEASE OF DEMCO ENTITIES
I do hereby release from any and all liability and do hold harmless, indemnify, and defend DEMCO, DEMCO Foundation, Inc. (the “DEMCO Foundation”), and all DEMCO affiliates and subsidiaries, including all of the foregoing entities’ employees, directors, attorneys, and agents (collectively, the “DEMCO Entities”) for any inferior quality work or damages of any kind I have or will sustain resulting from any work performed, services or goods supplied, or any other assistance of any kind which has been funded or assisted by the DEMCO Entities, any contractor, or any other third parties in connection with the grant I am applying for from the DEMCO Foundation. I recognize that the grant I have applied for from the DEMCO Foundation, as well as any services, goods, work, or other assistance provided, constitute a philanthropic act and charitable donation to me from the DEMCO Foundation. I further recognize that this donation from the DEMCO Foundation is not a contract and no consideration has been received by the DEMCO Entities. If funded I will voluntarily accept the grant and donation from the DEMCO Foundation and the DEMCO Entities shall have no responsibility or liability whatsoever to me for any work, services, goods, or other assistance funded or provided by either the DEMCO Entities or any third parties that may be engaged or hired, WITH MY PERMISSION AND AT MY DIRECTION, to provide said work, services, goods, or other assistance.
Once the application is reviewed and verified by a Community Relations Coordinator, additional documentation may be requested such as the following:
- Copy of each student’s most recent report card.
- Proof of all household income to include, child support, rental income, Social Security, SSI, SNAP benefits (all pages), unemployment benefits (if applicable).
- Proof of all household expenses to include, utility statements (electric, phone, water, etc.), loan statements, credit card statements, auto payments, auto insurance, etc.
- Application is signed and dated.
A telephone interview will be scheduled after all required documentation has been submitted. After conducting the telephone interview, the Community Relations Coordinator prepares an assessment for presentation before the DEMCO Foundation Board of Directors, who meet each month. The board will then vote on whether to fund or not fund each request, and the Community Relations Coordinator will relay the decision to the applicant.