Team Yakima

Scholarship Application

For the 2017-2018 USAV club season, Team Yakima Volleyball is planning to offer scholarship opportunities to a few athletes to help defray the costs to play.  These scholarships are based on financial need, and are annually funded from private donations and grant awards. 

This application is considered personal and confidential and will not be shared with anyone outside Team Yakima’s Scholarship Committee.

To apply, please print and fill out this application form and email it to teamyakima@gmail.com by November 20, 2017.

 

Applicant’s Name:  _____________________________  Date of Birth/Age: ________________

 

Address: ______________________________________________________________________

 

City: ____________________________________  Zip Code: ___________________________

 

Name of school currently enrolled:  _________________________________________________

 

Grade Level:  ______________      GPA:  __________________

 

 

Primary Parent or Guardian’s Name: ________________________________________________

 

Occupation/Profession: __________________________________________________________

 

Address: ______________________________________________________________________

 

City: ____________________________________  Zip Code: ___________________________

 

Phone: ___________________________           Alternative Phone: _______________________

 

Email_________________________________________________________________________

 

Annual Income (as listed on latest tax return): ________________________________

 

 

Second Parent or Guardian’s Name: ________________________________________________

 

Occupation/Profession: __________________________________________________________

 

Address: ______________________________________________________________________

 

City: ____________________________________   Zip Code: ___________________________

 

Phone: ___________________________           Alternative Phone: _______________________

 

Email_________________________________________________________________________

 

Annual Income (as listed on latest tax return): ________________________________

 

Do you have any prior involvement with Team Yakima Volleyball?  Yes____  No____

 

If yes, when____________________________________________________________________

 

Are you willing to meet the minimum (depends on level of team) required fund raising requirement for Team Yakima Volleyball?  Yes_____ No_____

 

Will the player have transportation to and from practice & tournaments?  Yes______  No______

 

Are you currently involved in any other club or sports activities?  Yes_____  No _____  If yes, please list information 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 _________________________________

 

 

IMPORTANT:  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 to describe.

 

 

 

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