Kim Rogers Graves Can-Do Career Assistance Application

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Completion of this application gives Literacy KC permission to perform a criminal background check as necessary

Personal Information

Date:

Salutation

First Name:

M.I.

Last Name:

Address:

City:

State:

Zip Code:

Phone Number:

Phone Type:

Email:

Educational Level/Degree:

Gender:

Race/Ethnicity:

Date of Birth:

Employer:

Occupation:

Request

Amount being requested:

Date needed by:

Where does the payment need to be sent?

Additional Information:

Hours of Study Completed at Literacy KC:

Focus of Study at Literacy KC:

How did you hear about the Can-Do Grant for Career Assistance?

Do you have relevant skills, expertise, or experience you would like to share with Literacy KC to consider during the decision-making process (i.e. previous education or certification or experience)?

Are you a member of any community organizations? ie. church involvement, vounteering at a local non-profit, etc.

Please list them below:

Please include any comments or special considerations you would like the advisory committee to consider.

Please explain how this grant will be used if awarded, including the positive impact on your personal career.

Are you applying for any additional supplemental support? (i.e. tools, scrubs, or other supplies)

Please explain the need below.

Essay

Please write a short essay:

a. Expressing personally why receiving career assistance is important to you

b. Expressing how studying at Literacy KC has affected your life

c. Expressing how this grant will help achieve your goals

Application are accepted year-round.
Grantees my apply up to two times for career assistance as long as grantee is making progress towards the stated goal and can directly how how career assistance will improve their career. Progress will be determined by the Advisory Committee based on information provided by grantee.

Award Amount
Varies

Deadline
Ongoing

Please attach the following documents:

1. Copy or photo of identification, must include one of the following
- Drivers' License
- State Issued ID
- Social Security Card
- Birth Certificate

2. Breakdown of expenses requested and explanation of need

3. Photo of applicant:

All the information on this form is true and complete to the best of my knowledge. I understand that any false statements made by me on this application, or any supplement materials may be grounds for rejection of my application or dismissal from any subsequent funding. Completion of this application gives Literacy Kansas City permission to perform a criminal background check as necessary. If awarded a grant from Literacy KC I agree to share my story and photo as requested to help promote the program to others.

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