Hermantown Youth Soccer Association Hardship Grant Request Form

HYSA Hardship Grant Request Form

Hermantown Youth Soccer Association, Inc. (HYSA) offers a limited number of hardship grants to players each season whose families do not have the financial ability to pay their children's registration fees.

HYSA is committed to providing opportunities to our area youth and we ask that you carefully consider your inability to pay these fees as the monies allocated for these hardship requests are limited and should be awarded to those with the greatest need.

Eligibility:

1. Ability to provide required equipment for player (including uniform, shin guards and shoes).

2. Ensure player participates in at least 80% of scheduled practices and games.

3. Scholarship request is received at least two weeks prior to registration closing date. (Unless otherwise instructed by board.)

The HYSA Hardship Grant covers the annual registration fee for the player. Please note, all submitted requests will be discussed with the HYSA Board of Directors at a regularly scheduled monthly meeting and all inquiries are strictly confidential. If you would like to apply for a hardship grant, please fill in all fields below.

Instructions:

1. Submit a new form for each child applying for assistance.

2. Requests will be confirmed by email.

HYSA is not obligated to award a scholarship to any applicant.

Questions and comments can be emailed to admin@hermantownsoccer.com

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* 1.
Please provide the following information:

Parent/Guardian Name

Player Name

Player Date of Birth

Address

City

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Reason For Request

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* 3. Please explain the reason you are requesting a financial aid scholarship with HYSA. The HYSA financial aid scholarships include partial or full registration fees per player. Please be as detailed as possible. All information is confidential.

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* 4. Parent(s) place of employment?

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* 5. Number of dependents at home and ages.

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* 6. Is the player's parent/gaurdian able to volunteer with any association event?

Yes

Other (please specify)

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* 7. How many years has family played with HYSA?

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* 8. Fee for my child is?

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* 9. Amount requested is?

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* 10. I have read and understand the eligibility and above committment and feel I am qualified for this financial award. Please provide name below as electronic signature.

Name

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* 1. Please provide the following information:

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* 2. Reason For Request

Question Title

* 3. Please explain the reason you are requesting a financial aid scholarship with HYSA. The HYSA financial aid scholarships include partial or full registration fees per player. Please be as detailed as possible. All information is confidential.

Question Title

* 4. Parent(s) place of employment?

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* 5. Number of dependents at home and ages.

Question Title

* 6. Is the player's parent/gaurdian able to volunteer with any association event?

Question Title

* 7. How many years has family played with HYSA?

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* 8. Fee for my child is?

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* 9. Amount requested is?

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* 10. I have read and understand the eligibility and above committment and feel I am qualified for this financial award. Please provide name below as electronic signature.

* 1.
Please provide the following information: