HRD 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 of their decision in writing within thirty (30) days of receipt of this application. Scholarships are dependent on fund availability.
Legal Name *
Derby Name (if applicable) *
Email Address *
Membership Status *
Membership Details *
If Good Standing: Your committee(s) // If Suspended: Reason (nonpayment, attendance, hours) // If Returning: Dates of absence // If Transfer: Previous league
What is your current HRD skill level? *
Scholarship Request Type *
Time Period *
Previous/Current Scholarship *
Please list time, amount, and type of current or past scholarship(s).
Personal Statement *
Please describe why you would be a good candidate for scholarship consideration. If any of the above answers require additional information, please include that here.
Never submit passwords through Google Forms.
This form was created inside of Hellgate Roller Derby. Report Abuse