Application For Unmet Needs Ages 18-23 Unmet Needs Request Form Ages 18-23 Unmet Needs/Tutoring Programs (Ages 18-23)Are you requesting tutoring? Yes NoWhich location is most convenient for you? Tutoring Club of Centennial/Providence • 6710 North Hualapai Way, Suite 145 • Las Vegas Nevada 89149 Tutoring Club of North Las Vegas • 6120 North Decatur Blvd, #102 • North Las Vegas Nevada 89031 Tutoring Club of Rhodes Ranch/Mountain's Edge • 7315 South Rainbow Blvd, Suite 120 • Las Vegas Nevada 89113 Tutoring Club of Henderson/Green Valley • 2213 North Green Valley Parkway • Henderson Nevada 89014 Tutoring Club of Anthem • 11241 • South Eastern Avenue • Henderson Nevada 89052Date of RequestRequest Date DeadlineAmount of RequestYoung Adults First NameYoung Adults Last NameYoung Adults AgeYouth's Gender (optional)Young Adults Phone NumberPerson Requesting FundsPerson Requesting Funds Phone NumberRelationship to Young AdultCase Manager Name First NameCase Manager Name Last NameCase Manger EmailCase Manger Phone NumberPlease select a request field School Equipment - Laptop, Monitor, Keyboards, Mouse, etc. Communication (Phone Card) Transportation Assistance (Bicycle or Electric Scooter Purchase) Home Kits-Paper Goods, Toiletries, Cleaning Supplies Travel for Family Reunion (Two times a year and up to $300) Driving lessons and car to obtain license (driving permit required) OtherRequest DescriptionVenue Contact Person First NameVenue Contact Person Last NameVenue Phone NumberIf approved, makes checks payable to:Program Venue AddressAddress Line 1Address Line 2CityStateZip CodeProgram Venue/Housing EmailYou MUST upload Proof of Cost/Invoice of Activity. NOTE - we cannot process request without the Proof of Cost/Invoice. If you have any questions with regard to this application for, please call: 702-588-2272 or email: info@cflv.orgFile UploadChoose File Submit
