SCUFC Financial Assistance Application

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Email *

Parent First Name *

Parent Last Name *

Contact Email *

Contact Phone Number *

Include area code

Number of children in family playing SCUFC Competitive Soccer *

Player's Name(s) - Please list the names of all children playing *

Household Income *

Less than $25,000/year

$25,000 - $30,000/year

$30,000 - $35,000/year

$35,000 - $40,000/year

$40,000 - $45,000/year

$45,000 - $50,000/year

$50,000 - $55,000/year

$55,000 - $60,000/year

$60,000 - $65,000/year

$65,000 - $70,000/year

$70,000 - $75,000/year

More than $75,000/year

Other:

Amount requested to be paid by applicant/child/month *

$25/player/month

$50/player/month

$40/player

$45/player

$50/player

$55/player

$60/player

$65/player

$75/player

At this time, I need to be considered for Full Scholarship

Other:

If approved, a credit/debit card must be set up on-line to draft monthly payments. What day do you want the initial payment drafted? Payment will then be drafted each month on this day. (ie if you choose 6/15/2020 for the first payment, the remaining payments will be drafted July 15, Aug 15, Sept 15, etc until the last payment is received) *

YYYY

Federal or State Aid you are currently receiving (please select all that apply) *

School District Reduced or Free Lunch Plan

Medicaid

Food Stamps

N/A - I am not receiving any Federal or State Aid

Required

Please list any UNUSUAL financial obligations or hardships (i.e. Medical bills, recent loss of job).

I agree that everything stated in the above application is correct to the best of my knowledge. I also agree to provide verification of income, if requested. *

Yes

I understand that the Team Travel fees are NOT included as part of the financial assistance awarded. If you also will be needing help with the Team Travel fees, you must discuss this Soccer Leadership. *

Yes

I understand that I must be current with any outstanding balances due to SCUFC or SCUFC/YMCA before I will be awarded further assistance. I also understand that Payment of any balance due on the account MUST be paid in full before my child will be allowed to practice/participate in games. All decisions of the Financial Assistance Committee are FINAL. *

Yes

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