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2023 FWSCYS John Gotschall Needs Based Scholarship
Scholarship applications will be reviewed on an annual basis as funds are available.
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* Indicates required question
Players Name
*
Your answer
Team
Your answer
Age Level
Your answer
Have you received aid previously?
*
Yes
No
Other:
Person filling out the form?
*
Your answer
Do you own or rent your home?
*
Own
Rent
Other:
Number of wage earners in household?
*
Your answer
# Adults in household
*
Your answer
# of Children in household
*
Your answer
Do you qualify for reduced school lunch?
*
Full
Partial
None
Other:
Do you qualify for public assistance (Food Stamps, WIC, Medicaid, etc.)
*
Yes
No
Other:
Do you currently participate in FWSC Scrip Program?
*
Yes
No
Other:
Describe your need and reason for the request.
*
Your answer
Do you understand that in order to receive aid, 4 hours of volunteer service must be provided to FWSC?
*
Yes
No
Other:
E-Mail Address
*
Your answer
Phone Number
*
Your answer
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