Please enter your address accurately since this is our primary way to reach you.
Your answer
Phone number *
Your answer
Date of Birth *
MM/DD/YYYY Format please!!
MM
/
DD
/
YYYY
Gender *
School(s) where you’ll be enrolled at any time in 2015-2016. *
AFDC Grants applicants must be enrolled in school at the time of application.
Your answer
League or activity you’d like to join *
Your answer
Contact info for league or activity (Phone number, email address, web site, etc)
This could be your coach's or team manager's name.
Your answer
What is your parents’ or guardians' combined annual income? *
You may be asked to provide documentation supporting your response.
Your answer
Financial need is a significant consideration for determining AFDC Grant recipients. Please describe your level of financial need. Are you on free/reduced lunch at school? Do you receive financial aid at school? Does your family receive SNAP benefits? How many minors are in your immediate family? Have you ever missed an Ultimate event due to lack of funds? What other sources of income are you relying upon to pay for your activities besides AFDC Grants? Please consider all of these questions when responding. *
Your answer
Have you ever received a similar ultimate-related grant or scholarship in the past? How much? What did you do with it? *
Your answer
If you are awarded a grant, are you willing to help promote AFDCGrants? *
Choose
Yes
No
Let me consider that one
References *
Provide names & contact info for two (2) adult references.