SCHOLARSHIP APPLICATION
Please complete this form no later than 30 days before scholarship funds are needed. This application will be considered by the Hellgate Roller Derby Board of Directors within the next two weeks. You will be informed as to their decision in writing within thirty (30) days of receipt of this application.
Legal Name *
Your answer
Derby Name (if you have one) *
Your answer
Email Address *
Your answer
What is your current HRD skill level? *
ACHIEVEMENTS/LEAGUE RECOGNITION *
What positions have you held? For what achievements have you been recognized?
Your answer
OTHER NOTEWORTHY HONORS: *
Your answer
SPECIAL CONSIDERATION: *
Examples: disability, loss of job, injury, or other unusual expenses or circumstance
Your answer
FOR WHAT AMOUNT OF SCHOLARSHIP FUNDS AND LENGTH OF TIME ARE YOU APPLYING? *
Are you applying to pay reduced dues for the entire season? Dues waived for a particular month? Stipend for gear purchase?
Your answer
PERSONAL STATEMENT: *
Describe any additional reasons why you would be a good candidate for scholarship consideration.
Your answer
Submit
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