Mahtomedi Basketball Association Scholarship Program

The Mahtomedi Basketball Association (MBA) may consider providing partial scholarships based on both financial need and the availability of funds. The player/family will be required to pay at least 50% of the fees and costs. To be considered, the following criteria must be met:

1) Player must attend a Mahtomedi public school
2) Upon receiving approval, recipient must complete the online registration process using the approval code issued by the MBA.
3) Parent/s must volunteer to work at the Mahtomedi Tournaments 

Failure to complete any of these requirements will result in forfeiture of the scholarship.

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* 1. Player Name

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* 2. Player Grade Level

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* 3. Player Address

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* 4. Player School

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* 5. Parent(s) Name(s)

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* 6. Parent email address

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* 7. Parent Phone Number

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* 8. Program Player Intends to Play In

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* 9. Amount of Scholarship Request ($)

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* 10. Have you received an MBA scholarship in the past?  If yes, when?

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* 11. Annual Household Income ($)

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* 12. Sources of Income

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* 13. Employment

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* 14. First Parent/Guardian Name Occupation and Years Employed Full Time/Part Time

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* 15. Second Parent/Guardian Name Occupation and Years Employed Full Time/Part Time

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* 16. Current Assistance (unemployment, worker compensation, food stamps, attach proof of free/reduced hot lunch Program, AFDC, general assistance,  etc.)

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* 17. Why is it difficult for you to pay the standard fee? Be as specific as possible as demonstration of financial need is required to receive a scholarship.

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* 18. Submitter, type name as certification of the accuracy of the information provided in this application.

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