ESJ 2017-12-07 Agenda Packet - Laserfiche WebLink

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EQUITY & DIVERSITY COMMISSION REQUEST FOR FINANCIAL ASSISTANCE* *Re :;nests should be submitted no later than 60 days )rior to the date needed. Applicant/Contact Information Applicant Name: (Applying Organization or Individual) Tukwila Parks and Rec Youth Basketball League Today's Date: 11/30/2017 Address: Tukwila Community Center, 12424 42nd Ave S Street Address Tukwila City Contact Person: Marlus Francis WA State Suite # 98168 ZIP Code Title: Fitness and Athletic Coordinator Phone: (206) 768-2822 Funding Request Amount Requested: $250 Date Needed*: 12/15/2017 Describe, in detail, how these funds will be utilized. Attach additional sheets as needed: *No later than 60 days prior These funds will be used to support one youth basketball team in the Tukwila Parks and Rec Youth Basketball League. How does your request for funding align with the Equity & Social Justice Commission Goals? (See back) This program supports youth in our community and promotes fitness, teamwork, and dedication to a goal. Many of Tukwila's youth are low-income, and would not otherwise have the opportunity to participate in a program like this. Reinvestment Commitment The Equity & Social Justice Commission is committed to the reinvestment of services. If you receive funding from the Commission how do you prefer to reinvest your time and/or services to the Commission? (check all that apply) ❑ Volunteer to provide translation services. Please list languages: ❑ Attend monthly Commission meetings for (insert number) months. ❑ Perform (insert number) hours of community service by volunteering to (please describe): ❑ Other, please describe: Return completed forms to: City of Tukwila Equity & Diversity Commission 6200 Southcenter Boulevard Tukwila, Washington 98188 6