Application for Scholarship
Name: Team: Date:
Address: Phone #: E-mail:
Manager: Coach: Team Rank (est.):
How much can this family afford? :
Siblings in club?:
Optional Payment Plan? YES NO
If yes, how much? (Please Explain):
Reason for Scholarship (Required information):
Manager & Coach’s Comments:
Ability to perform community service at the fields? YES NO
Team surplus available? YES NO
If yes, how much can the team contribute?:
PLEASE DO NOT FILL OUT ANYTHING BEYOND THIS LINE.
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Approved: Scholarship Amount:
Not Approved:
Comments: