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City of Santa Ana <br />Donation Request <br />City Manager's Office — M-31 <br />20 Civic Center Plaza <br />P.O. Box 1986 <br />Santa Ana, CA 92702 <br />(714) 547-5200 <br />�Nao !Jenny Rios __.[i-ltle: ICED <br />j rldress: .505 E. Central Ave. <br />Coy, state, zip: Santa Ana,CA $2707- --- iPhone: - 714-481-9601 <br />_ - --- _ <br />IEmait: �jennyrios@delhicenter,org r - - - Fax:- 1714-481-9698 <br />Name: 'Delhi Center <br />Tax -Exempt Status: Is your organization a non-profit or public tax-exempt organization as �,gelect One: ' <br />iefined under Section 501(c)(3) of the Internal Revenue Code? fI ® Yes ❑ No <br />If No, you will only <br />es for <br />raprtiesor Torment, City -related request (I.e. permit fees, ��� ��o��� <br />rtaNPima, rents! rates for/acilifies or equipment, etc.).Costs for City services vary and N �ur' <br />approved, credit may ormay not cover full cost of requested City services. ax ID It: <br />City Services Gredtt $ Date Needed: 11-30-17 MayarlGouncllmember. Solorio <br />,Amount Requested: <br />Direct Payment Amount r 500.00 (Event Date 8/1/17-6/30/18 Event lime: M—F 2 30 8:3® 171 <br />Requested <br />Event Location: <br />505 E. Central Ave. <br />(Address, Gfty. State, tip <br />Santa Ana, CA 92707 <br />Teens Engaged in Learning and Leadership Is a gang prevention program that uses leadership development, internships, and <br />iDescriptll of <br />community service to train teens to overcome risk factors for gang involvement and to develop skills to help them succeed. <br />i Purpose: <br />Participants will complete 30 hours of classroom training, 80 hours of Internship work, and 100 hours of volunteer service and <br />(Event <br />will receive a $500 scholarship for completing all requirements. <br />I padicipants ages l4-lg will gein tob training and experience by assisting with the impiomentation of programs end services offered ai Delhi <br />(Community Benefit: <br />Center. Teens will be exposed m a variety of work-related tasks and skills and will makes meaningful cuntnbutlon lothe community through <br />service. A total of 22 teens will be served from throughout Ssnta Ane and $1,000 will cover the cost of a scholarship for 2 teens who live <br />l <br />(their <br />in Ward 3. <br />�AppllcantSlgnatura; <br />I <br />Date: <br />August 7, 2017 <br />all: City Manager's Office—M•31 <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />Email: donatlonrequest@sante•ana.org <br />Fax: (714)647-6954 <br />Donation Raquest'0: ! DR - <br />Council Meeting Date: NOVEMBER 7, 2017 <br />tic, (nation d'ortuertla Peet UYks <br />Eligibility Net: lI YES i NO YES Approved Amount: $500 <br />City ffinagor Signature: Pato: <br />Revised 01105/2017 <br />EXHIBIT 7 <br />