Columbia Youth Football League
Scholarship Application
Part 2 - SA2010
The purpose of this form is to provide you with a process to apply for financial assistance. Your completed form will be reviewed by the Executive Committee in an extremely confidential manner and a decision will be communicated to you within two weeks of your submission. Please note that additional information may be requested of you in order to properly evaluate your application
Your request will be reviewed and you will be notified by July 15th, 2010 regarding your request.
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Participant’s Name
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Current School
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Grade entering Fall 2010
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Parent/Guardian Name (s)
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Day Phone
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Evening Phone
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Address
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City, State Zip
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Cell Phone
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Family Information:
_______# of people living in household ____# under 18 living in household
Does applicant/participant qualify for Federal free or reduced lunch program? Yes No
(Please include a copy of your state form for proof that you qualify.)
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Please explain why you are requesting assistance:
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Knowing the fee for this program is $125.00, how much do you feel you can pay? $___________
If approved for a Scholarship the Parents or Guardian are required to fulfill a time commitment set out in the Scholarship Expectation Requirements. Please return your signed portion with this application.
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Signature of applicant
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Date
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Applications must be returned no later than July 15th, 2010 to be considered.
Please return both forms to: CYFL Treasurer PO Box 7052 Columbia , MO 65205.