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EXHIBIT 1 <br /> , rf,- OC CHILDREN ' S <br /> THERAPEUTIC ARTS <br /> 2215 North Broadway, Santa Ana, CA 92706 (714) 547— 5468 www.occtac.ore <br /> Youth Employment Program Supportive service <br /> GAS CARD acknowledgement & POLICY form <br /> 2025-2026 <br /> Policy for Use of GAS CARD <br /> PURPOSE OF THE POLICY <br /> Youth Employment Program Participants who qualify to receive a monthly Gas Cad: <br /> • Participants are eligible to receive one monthly gas card in the amount of$50.00. <br /> • Participants must request a gas card in a timely manner. <br /> • NO replacements will be issued in the event the gas card is lost. <br /> • Participant must provide itemized receipt(s) totaling the amount provided within 30 <br /> days in which the gas card has been provided and/or before receiving additional gas <br /> cards. <br /> • The receipt(s) must be returned to a YEP Staff member in person. If the participant <br /> is unable to provide the receipt(s) in person, the participant must provide a copy of <br /> the receipt(s) via text message or email to a YEP staff member. <br /> • Failure to provide proof of receipt(s) will result in future loss of privilege to receive a <br /> gas card. <br /> AGREEMENT <br /> have read the statement above and <br /> fully understand and will adhere to the requirements and expectations to receive gas cards <br /> from the Youth Employment Program at OCCTAC. <br /> Participant's Signature: Date: <br />