Mark Selby Memorial Fund
The Philomath Community Foundation (PCF) will award a grant to a Philomath School District Youth who wishes to receive specialized therapy. The emphasis of this grant is to provide financial assistance for a youth to receive the therapy needed to address mental health/addiction issues.
Criteria for receiving the award:
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Youth must be from the Philomath School District.
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The youth normally qualified to receive assistance will be from 14 to and including 17 years of age.
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The level of funding available from the PCF for the youth’s treatment will be determined prior to enrolling in the treatment program, such as New Vision Wilderness Therapy.
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A letter of referral addressing the youth’s treatment needs must be submitted with the application. The referral cannot be from a relative or friend.
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In order to receive the financial support, which was predetermined, the youth must successfully complete an approved treatment program.
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The treatment program will be reviewed by the Philomath Community Foundation at the time the application for assistance is submitted.
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The youth’s legal guardian(s) must request and establish the need for financial aid and sign the Financial Disclosure Form which is part of the application criteria.
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The youth’s legal guardian(s) must submit to PCF the most current two years of completed and filed federal tax returns.
Avoid using an outdated form. Wait until Jan. 1 of the year in which you plan to submit this application to print or download it.
Mark Allen Selby
April 16, 1988 - Nov. 13, 2010