GSYHA SCHOLARSHIP APPLICATION
Email address *
GUIDELINES
SUMMARY: Glenwood Springs Youth Hockey Association is proud to offer annual scholarships. The amount available for scholarships will vary each year, depending on fundraising success and donations earmarked for scholarships. The scholarship program is intended to assist those in financial or hardship need, provide an opportunity for youth that would not otherwise be able to play hockey. There is no guarantee that an award will be given to an applicant. Previous awards do not guarantee an award for future years.

PURPOSE:
Glenwood Youth Hockey Association (GSYHA) mission supports equitable access to programming from players of all backgrounds. The GSYHA Annual Scholarships are meant to ease the financial burden of registration fees for GRIZZLY HOCKEY families facing financial hardship.

BENEFITS:
Provides opportunity for youth to participate in hockey, regardless of financial burden or other hardship, through a fair, impartial and confidential review.

OVERSIGHT:
Scholarship Committee (chosen by GSYHA Board of Directors)

ELIGIBILITY:
1) Be in good standing with GSYHA (previous financial obligations, DIBS, etc.)
2) GRIZZLY HOCKEY families experiencing financial burden or other hardship
3) GRIZZLY HOCKEY families with at least one year of participation in GSYHA
4) GRIZZLY HOCKEY players, registered with both USA HOCKEY and the Glenwood Springs Youth Hockey Association (GSYHA)

LIMITATIONS:
Scholarship awards are applied to registration fees only. Scholarships cannot be applied to jersey deposits, USA Hockey fees, DIBS obligations, travel expenses, parent-pay tournaments, or other subsequent fees, unless otherwise specified by the Scholarship Review Committee and specifically documented in the Scholarship Award & Acceptance Agreement. If a player withdraws before completion of season, scholarships must be repaid to GSYHA.

Scholarships are not limited by per family registrations for multiple players or limited by years of awards. However, scholarship determination is made by total award per family/guardian, not by player. Scholarships are reviewed for the current season’s need, based on all current applications.

RECIPIENT OBLIGATIONS:
Families awarded scholarships must meet minimum DIBS requirements as expected of all GRIZZLY HOCKEY families; award recipients are encouraged to join in additional volunteer opportunities. Players receiving scholarships are expected to adhere to the GSYHA Code of Conduct, and to regularly attend and participate in practice and in games. Failure to meet these obligations, could impact eligibility for future scholarship awards.

FAMILY CONTRIBUTION: Scholarships are awarded on an individual basis and may be full or partial awards. Unless under significant economic or hardship need, a family contribution will be assessed.

PROCEDURES: Parents/guardians applying for scholarship funds are required to complete the scholarship application, a brief letter of need and provide financial disclosure. The scholarship need letter should contain enough detail for the Scholarship Committee to truly evaluate the requested financial need. As well, the letter should include other extra-curricular activities in which the child or siblings participate or other special circumstances that contribute to this financial hardship.

If parents/guardians reside in separate households and both parents/guardians are responsible for payment of program fees, each parent is responsible for submitting a separate application for themselves (If each parent/guardian has financial hardship they are required to apply for scholarships separately). GSYHA assumes 50% financial responsibility from each parent/guardian for all registered players. If that is not the case, documentation must be provided to verify that, such as a divorce decree.
All applications must include:
1. Scholarship need letter
2. Short Answer Responses
3.. Copy of the most recent year’s tax return ((if no tax return is available, a W-2 and or/1099 must be submitted)

If neither of the above documentation is available, please provide:
4.. Copy of current pay stub with current year to date income information

IMPORTANT: If there is difficulty obtaining any of the above records, please provide an explanation in the scholarship need letter and submit application until documentation is obtained

AGREEMENTS: Applicants who have been selected for a scholarship award will be notified after review of all applications meeting the Application Deadline. If a scholarship is awarded, the GSYHA Scholarship Award & Acceptance Agreement must be signed and returned to the Board prior to the release of a credit in the amount of the award to be applied to the member’s account.

DEADLINE: Applications are due October 31 of the current hockey season. Applications submitted by October 31 will be reviewed and responded to by November 10. Applications received after October 31 are reviewed monthly and will be considered if additional funds are available..
LETTER OF NEED
Please provide a brief letter of need. The scholarship need letter should contain enough detail for the Scholarship Committee to truly evaluate the requested financial need. and/or hardship. As well, the letter should include other extra-curricular activities in which the child or siblings participate or other special circumstances that contribute to this financial hardship.
Dear GSYHA Scholarship Committee, *
Your answer
RESPONSES
Required Documentation: Financial information is required for the parent/guardian requesting scholarship funds. If another parent/guardian is requesting scholarship funds they must submit a separate scholarship application for each player. Incomplete applications will be reviewed and held until all documentation is submitted and approved.
Total Full Program Fees Due (all family players) *
Your answer
Sibling Discount Applied
Amount of Sibling Discount Applied
Your answer
Scholarship Amount Requested: *
Your answer
Payments Already Paid for Current Season:
Your answer
Applicant Mailing Address *
Your answer
Player 1 Name *
Your answer
Player 1 Date of Birth *
MM
/
DD
/
YYYY
Player 2 Name (if applicable)
Your answer
Player 2 Date of Birth
MM
/
DD
/
YYYY
Player 3 Name (if applicable)
Your answer
Player 3 Date of Birth (if applicable)
MM
/
DD
/
YYYY
Program(s) Applying for (check all that apply): *
Required
Years with GSYHA *
Name of Parent-Guardian 1 Applying for Scholarship *
Your answer
Phone Number of Parent-Guardian 1 *
Your answer
Best Time to Contact
Name of Parent-Guardian 2 Applying for Scholarship
Your answer
Phone Number of Parent-Guardian 2
Your answer
Email of Parent-Guardian 2
Your answer
Required Documentation
Please submit all required financial documents to:
Glenwood Springs Youth Hockey Association Attention:
GSYHA Scholarship Committee
PO Box 576, Glenwood Springs, Colorado 81602
or email to:
Ham Tharp, GSYHA Board President at: htharp@gsyha.org
Subject: GSYHA Scholarship Financial Documentation

QUESTIONS: Contact Ham Tharp, GSYHA Board President, 970-618-1247 or htharp@gsyha.org

REQUIRED
Copy of the most recent year’s tax return (if no tax return is available, a W-2 and or/1099 must be submitted)

If the above documentation is available, please provide: Copy of current pay stub with current year to date income information.

IMPORTANT: If there is difficulty obtaining any of the above records, please provide an explanation and submit application until documentation is obtained

Your answer
Signature
I hereby acknowledge that the information and attachments to this application is true and accurate. I understand that if any information on this application form is not true or accurate, then GSYHA has the right to terminate any scholarship awarded. At such time the applicant will be obligated to repay GSYHA the total amount of the scholarship awarded. GSYHA also has the right to terminate any scholarship award should the balance of the program fee, after scholarship, not be paid within the designated time.I have read and understand all my obligations and responsibilities as a potential scholarship recipient
Electronically Signed: *
Your answer
*
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Glenwood Springs Youth Hockey Association. Report Abuse