18
S moke S ignals
august 1, 2014
EDUCATION OPPORTUNITIES
2014-15 K5 Afterschool Program
Applications Available: July 7-August 1
Ground Kontrol
Sign-Ups: July 28-August 1
8:00am-12:00pm and 1:00pm-5:00pm
- Lunch and snack provided
- Contact Alex for more info @
503-879-2318
Limited space is available and is based on a first-
come, first-serve basis to CTGR Tribal,
Native American, or Descendent students who are
entering K-5th grade.
- Hosted by Youth Education
Ground Kontrol is the West Coast’s premier classic arcade, preserving and celebrating video
gaming’s “golden age” by operating over 60 classic video games and 27 pinball machines!
Date– August 6
First day of 2012-13 Afterschool Program
Departure from YED– 8:30 am
Program includes transportation from Willamina
Elementary School, healthy snacks, and a variety of
educational, recreational, and cultural activities.
Return— 4:00 pm
Contact Tiffany Mercier at 503-879-2101 or Matt
Bucknell at 503-879-2224 for more information.
Middle school\High school
Ad created by Alexandria Thorsgard
Youth Sponsorship Application
General Information
The Youth Sponsorship can be used two times per calendar year (January 1st to December 31 st ) for a total
maximum amount of $200.00. This program is available to all enrolled Tribal students regardless of location.
Residency in Oregon is not a requirement.
The program has open enrollment (can be accessed at any time throughout the year. Applications must be
received by the Youth Education Department no later than the first Friday in December, which allows
enough time for the application to be processed and the check to be issued within the same calendar year.
Any application received after the first week in December will be applied toward the next calendar year
based on funding availability.
The Sponsorship can only be applied directly to a vendor of a structured activity that focuses on
education, sports, recreation, enrichment or culture. A list of approvable/non-approvable items for the
Sponsorship program is attached. No reimbursements will be made to parents except for extreme
extenuating circumstances, and at the sole discretion of the Youth Education Department. Unless
prior arrangements are made between the parent and the Youth Education Department, payment will
be made directly to the vendor. In the event of an approved reimbursement arrangement, the
completed application must be submitted no later than thirty calendar days from the date of
payment in order to be approved.
There is no guarantee an application will be approved even though it has been completed and submitted.
Upon review of the completed application packet, the Youth Education Department reserves to the right to
approve and/or deny any application at its sole discretion.
Eligibility Guidelines:
1. Youth must be an enrolled CTGR Tribal Member.
2. Youth must be currently enrolled in K-12 th grade or an alternative form of certified and recognized
educational program.
Returned Youth Sponsorship Application Packet Must Include:
1. Completed Youth Sponsorship Application
2. Printed information on the program in which the youth wants to attend (camps, tutorial
services, structured educational activity, recreational, athletic programs, etc…). This information
must include whom to make the check to, address, cost, and the description of the
program/service. Examples may include a brochure, flyer, invoice for services, printout from
website, etc…
3. Verification of school or educational enrollment Verification needs to be a letter from a school
or school district on official letterhead stating that the youth is currently enrolled in their
educational program. In the event that a student is applying for a sponsorship during the summer
months, verification of enrollment of the previous academic year is required. Any verification
submitted must include a signature and contact information. Report cards will not be accepted.
4. Verification of Tribal enrollment A copy of CTGR Tribal I.D. card or an official letter from CTGR
Member Benefits (503-879-2490) stating that the youth is an enrolled CTGR Tribal Member is
required.
5. Completed W-9 Form This form verifies either the Tax ID or Social Security number of whom the
check will be made to. A completed and signed form is required for each separate application.
Workshop facilitators for micro-
enterprise business classes wanted
MERIT is a microenterprise program that provides business training
and one-on-one business counseling to residents of Marion, Polk and Yam-
hill counties who are in the process of starting their own businesses.
A microenterprise is defined as a very small (or micro-) business, hav-
ing fewer than five employees (usually a single self-employed person
or family), minimal capital needs, and whose owner has some social,
cultural, economic or physical barrier to overcome that prevents access
to traditional business training and counseling resources. We are looking
for individuals who possess the best practices in workshop facilitation,
instruction and classroom management to facilitate discussion and
student information exchange on the topic of business development.
Our goal is to create a safe, interactive, non-critical learning environ-
ment that encourages self-reflection and learning. We are looking for
individuals who will build trust with each student to ensure they become
completely engaged in the course to the best of their ability.
Application Instructions: Please send your resume and a bio to
the MERIT Program Manager Mona Edwards at medwar44@cheme-
keta.edu. n
Youth Sponsorship Application
Please contact CTGR Youth Education Program at 503-879-2101 or 1-800-422-0232 X-2101 with questions.
Student Information
Student’s Name ________________________________________________________________________
CTGR Enrollment # __________________________Date of Birth _______________________________
Home Phone #_______________________________Work Phone # _______________________________
Cell Phone # ________________________________Email Address _______________________________
Mailing Address: ________________________________________________________________________
All of the information listed above must be received in one mailing to ensure a timely response. If the
application packet is not complete when received, the applicant will be notified by telephone, email, and/or
mail as to what additional documents are needed to process your application.
City__________________________________ State_____________ Zip Code _______________________
Name, Address, and Telephone Number of School
__________________________________________________________________Grade:______________
Allow three weeks to process your completed application once it is receives in the Youth Education office,
longer if the application packet is not complete. Sponsorships are tracked using the date the check is mailed from
CTGR Youth. Sponsorships are available on a first come first served basis dependent upon funding availability. The
student/parent is solely responsible for all contact with the vendor (application, registration, any documentation
required by the program/service). Youth Education will mail the check directly to the vendor once we receive the check
from the Accounting Department.
Purpose of Sponsorship
______________________________________________________________________________________
Item Categories for Sponsorship
Check payable to _______________________________________________________________________
Below is a list of examples of items which can or can’t be approved under the Youth Sponsorship program. Please be
advised that this list serves only as examples. The Youth Education Department reserves the right to approve or deny
any application at its sole discretion.
Approvable Items
Non-Approvable Items
Academic Services
Tutoring, Joint-Enrollments, Classes, Conferences,
Trainings, Registration Fees, Textbooks
Food
(Personal, School Meals, etc…)
Athletic Programs
Clothing
Registration Fees, Membership Fees,
*Unless required for a structured class
Required Uniforms/Supplies
Enrichment Programs
Personal Travel
Music, Art, Dance, Summer Camps
Vacations, Family Outings, Fuel Costs
Memberships
Fines
YMCA, Boy/Girl Scouts, Aquatic Centers, Fitness Centers
Overdue Library Books, Meal Charges, etc…
Culture
Classes, Required Supplies for Cultural Classes
School Field Trips
Local, State/Country-Wide, International
School Services
Student Fees
**** Supply costs are only approved if documentation is provided showing that the requested supplies are required
through the structured activity/organization. Again, this is at the sole discretion of the Youth Education Department.
______________________________________________________________________________________
Vendor Information
Vendor Address
______________________________________________________________________________________
______________________________________________________________________________________
Vendor Phone #: ___________________________ _______Amount Requested; $____________________
Completed Application Checklist:
_____Application filled out completely and signed by parent/guardian
_____Program/Vendor Information (Cost, Address, etc…)
_____Verification of School Enrollment
_____Verification of Tribal Enrollment
_____Completed W-9 Form
By signing below, I agree that all information provided is correct and accurate and that any false information provided is grounds for
denial of Sponsorship. I understand that my application is not guaranteed to be accepted. I understand that it is my responsibility to
obtain and provide all necessary documentation both to the Youth Education Department as well as the vendor of services.
__________________________________________________________________
Parent or Guardian Printed Name
_________________
Date Signed
__________________________________________________________________
Parent or Guardian Signature
________________
Date Signed
Received by CTGR Youth Education: ____________________
Date Mailed to Vendor ________________________________
Check Request Date______________________
Check Number __________________________