Ann Arbor United - Scholarship Application

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Player Last Name *

Player First Name *

Parent Last Name *

Parent First Name *

Parent Phone Number *

Parent Email *

Age of player *

Assigned Team *

e.g. 2002 Boys Royal

League of Play *

WSSL

MSPSP

MRL

Name of Coach or Manager *

Email of Coach or Manager *

Have you previously applied for a scholarship? *

Yes

When was your last application *

YYYY

Estimated Household Income *

Less than $20,000

$20,000 to $34,999

$35,000 to $49,999

$50,000 to $74,999

$75,000 to $89,000

$90,000 or more

Number of children in household *

Financial Hardship Categories *

Medical/Dental Expenses

Education Expenses

Legal Expenses

Job Loss

Single Parent Family

Other

Required

If other, provide additional information

Parent Occupation 1 *

Parent Occupation 2 *

Level of Financial Support requested *

Provide the range $_____ to $_____

Which seasons will you need support? *

Fall

Winter 1

Winter 2

Winter 3

Spring

Required

In what areas can you volunteer support? *

Administration

Communications

Field Maintenance

Photography

Social Media

Summer Camp

Other

Required

If other, provide additional information

Submit

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