Scholarship Application

The scholarship program is intended to serve children who, without this fund, would be unable to participate in EYSA sports. It is intended to be a resource after other sources of funding have been utilized.

Please make a note of the volunteer requirements for those requesting a scholarship.

PLEASE COMPLETELY FILL OUT THIS FORM. INCOMPLETE FORMS MAY BE GROUNDS FOR DISQUALIFICATION.

PROGRAM

select

PLAYER FIRST NAME

PLAYER LAST NAME

PLAYER DATE OF BIRTH

Open the calendar popup.

SCHOOL ATTENDED

GRADE

PARENT FIRST NAME

PARENT LAST NAME

ADDRESS

CITY/TOWN

ZIP CODE

PHONE NUMBER

EMAIL ADDRESS

Scholarship approvals will be emailed here.

FUNDS AVAILABLE

How much can you afford to pay per player?

YOUR SITUATION

Please take a few minutes and explain your circumstances.

CERTIFICATION

I certify that the above information is true. I understand that disclosing false information is grounds for my player's disqualification from the EYSA scholarship program.

ACKNOWLEDGEMENT

I agree that for every $15 in scholarship funds that I receive, I will provide 1 hour of volunteer work to EYSA during the course of the season.

Required Fields