2024 Youth Wellness Support Program

2024 Youth Wellness Support Program

Requirement for 1st generation LEKT descendant (who are not enrolled in another Tribe), must complete descendant application and submit to LEKT enrollment office, and NOT be enrolled in anther Tribe, to be eligible for the Youth Wellness Support Program.

The Youth Wellness Support Program is established by the Business Committee for the promotion of health, wellness, and supporting academic success and administered by the Tribe’s Executive Officers under the authority of the Lower Elwha Klallam Tribe General Welfare Code. The Youth Wellness Support Program provides nontaxable and non-resource assistance under General Welfare Code Section 01.100(2)(e)(v) to youth aged 5-17 Lower Elwha Klallam Tribal Members, and first generation descendants who are not enrolled in another Tribe.

The goal of the Youth Wellness Support program is to encourage LEKT youth to participate in activities by lessening the families’ financial burden and expanding youth opportunities to participate in extra-curricular wellness activities.

Youth extra-curricular recreational activities are instrumental to wellbeing of youth. These activities promote physical activity, interpersonal communication, teach youth invaluable skills and life lessons, and often LEKT youth face financial burdens with participation in these activities.

Awards will not exceed a total of $500 (per youth participant) per calendar year (Jan. 1st to Dec. 31st).

Extra-curricular wellness scholarships can be used for: registration, fees, travel, and supplies/gear associated with activities through a school, club, or organization as well as approved structured and/or scheduled activities that are outside of the school day. Extra-curricular activities must promote positive choices and enhance life, as well as academic success.

Payments will be made by check to the custodial parent. Checks will be processed once weekly.

If you have more than one child participating in wellness activities, please complete separate application for each child.

Paper applications are available at the front desk of the Tribal Center. Please return them to Nancy Hamilton.

Step 1. Applicant Information

This form MUST be completed by a parent/guardian.

Today's Date*

Youth Name*

First and last name

Youth's Date of Birth*

Youth's Age*

Select

Mailing Address*

Please list the mailing address where you will receive your check.

City/State/Zip*

Custodial Parent/Guardian Phone Number*

Phone

Email Address

Youth Tribal Eligibility*

Select

LEKT Descendant application submitted*

Select

Tribal Parent's Name & Enrollment #*

Step 2. Activity Information

Activity Youth is Participating In*

Organization/Program Activity is Affiliated With*

Step 3. Required Verification

File Upload- Required Proof of Activity Registration/Participation*

Application WILL NOT be processed without a copy of registration, team roster, schedule identifying participant or other proof of participation. Please attach your documentation here.

Drag and drop files here or

One-Time Assistance Certification*

I understand by submitting this scholarship application a one-time payment of $500.00 will be made to me to financially assist and support a wellness activitiy for my youth. Should my youth choose not to participate it will be my responsibility to return this funding to the Lower Elwha Klallam Tribe.

Custodial Parent/Guardian Name*

Custodial Parent Guardian Approval*

Send me a copy of my responses

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