RoughRiders Scholarship Application
This is an application for those individuals who need financial assistance to take part in our Roughrider program
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Date *
MM
/
DD
/
YYYY
Parent Name *
Players Name
Please select the age group
Clear selection
Phone Number
Address
City
State
Parent 1 - Employer
Parent 2 - Employer
Parent 1 - Employer Contact
Parent 2 - Employer Contact
Please list Gross Monthly Income including Salary/Employment Income, Child Support/Alimony, Social Security/Disability, Food Stamps and all other income. *
Please list the following monthly expenses: Rent, Utilities, Child Support, Medical and all other monthly expenses. *
Please list any additional extenuating circumstances you would like Colorado Roughriders to consider before making a scholarship decision. *
Submit
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