LJSC Scholarship Application
Scholarships are not always available and vary season to season due to the availability of funds. Each scholarship request will be considered on a per-season basis.

Families must submit their application no later than the closing of the registration dates for the Fall and Springs seasons.

AN APPLICATION MUST BE SUBMITTED FOR EACH PLAYER
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Email *
Parent / Guardian First Name? *
Parent / Guardian Last Name? *
Current Physical Address *
Best contact phone number? *
Player / Candidate First Name? *
Player / Candidate Last Name? *
What is the Player's Birthdate? *
MM
/
DD
/
YYYY
Has your Player played with Lake Jackson Soccer Club in the past? *
Have you received a scholarship from the club before?
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Is there more than 1 Player that you are requesting scholarship funds for? *
If Yes, Please list Player Names and Dates of Birth for each. A separate form will be required for each player. If no, put N/A *
What amount, if any, can you afford to pay towards registration fees? *
Enter Household annual Income. Proof of annual income is required.  Copies of tax forms with Social Security numbers blacked out will need to be emailed to presidentljsc@gmail.com (preferred) OR sent to Lake Jackson Soccer Club  PO Box 715 Lake Jackson, TX 77566 *
Please provide any relevant information as it pertains to your request for scholarship assistance. Please include information regarding your request and briefly explain your financial need: *
Are you requesting partial or full scholarship assistance? *
Would you be willing to volunteer as a coach, assistant coach, or an LJSC Board member? (Preferred, but not required) *
I certify that I do not owe any other Soccer Organization past due fees. (Please Initial this) *
I certify and affirm the above information is true and complete to the best of my knowledge. I understand incomplete and/or false information could jeopardize eligibility for fee assistance. I have read the Program Description and understand there is no guarantee of fee assistance. I understand LJSC, its officers, directors, commissioners, coordinators, coaches, and volunteers make no promise or assurance of financial assistance. I understand the grant amount is subject to funds available and the family’s ability to pay. In consideration of fee assistance to the Player. (Please ) *
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