Team Yakima & Parker Youth and Sports Foundation
Scholarship Application 2010-2011
For the 2010/11 USAV club season, the Parker Youth and Sports Foundation has granted Team Yakima Volleyball monies to provide scholarship opportunities to a few athletes to help defray the cost of tuition. These scholarships are based on need.
This application is considered personal and confidential and will not be shared with anyone outside Team Yakima’s Scholarship Committee.
For consideration, this application must be completed and returned to Team Yakima Scholarship Committee, PO Box 8343, Yakima, WA 98908-0343 by November 16, 2009.
Applicant’s Name: _____________________________ Date of Birth/Age: ________________
Address: ______________________________________________________________________
City: ____________________________________ Zip Code: ___________________________
Name of school currently enrolled: _________________________________________________
Grade Level: ______________ GPA: __________________
Mother’s Name: ________________________________________________________________
Mother’s Occupation/Profession: __________________________________________________
Address: ______________________________________________________________________
City: ____________________________________ Zip Code: ___________________________
Phone: ___________________________ Alternative Phone: _______________________
Email_________________________________________________________________________
Mother’s Annual Income (as listed on latest tax return): ________________________________
Father’s Name: _________________________________________________________________
Father’s Occupation/Profession: ___________________________________________________
Address: ______________________________________________________________________
City: ____________________________________ Zip Code: ___________________________
Phone: ___________________________ Alternative Phone: _______________________
Email_________________________________________________________________________
Father’s Annual Income (as listed on latest tax return): _________________________________
Do you qualify for the Free or Reduced School Lunch Program? Yes___ No___ If yes, please attach a copy of the documentation.
Do you have any prior involvement with Team Yakima Volleyball? Yes____ No____
If yes, when____________________________________________________________________
Are you willing to meet the $150.00 minimum required fund raising requirement for Team Yakima Volleyball? Yes_____ No_____
Are you currently involved in any other club or sports activities? Yes____ No____ If yes, please list here. ________________________________________________________________
_____________________________________________________________________________
Please provide 2 character references. This may be a teacher, pastor, coach, mentor or other person who knows you well.
Name___________________________________________________________________
Address_________________________________________________________________
City__________________________________ Zip Code__________________________
Phone___________________________ Email _________________________________
Name___________________________________________________________________
Address_________________________________________________________________
City__________________________________ Zip Code__________________________
Phone___________________________ Email _________________________________
Statement of need or special circumstance: Please provide any additional information you may feel pertinent to this scholarship application. You may attach an additional sheet of paper if necessary.