Central Jersey Futsal Financial Aid Application
Thank you for taking the time to fill out the following application in order to qualify for financial aid for any Central Jersey Futsal leagues, Tournaments and other events, either self sponsored, cosponsored or approved.
Please complete the requested information in the form below.  This will constitute your application for a financial aid grant for an individual player or team. Please note that not all requests for aid may or may not be  granted necessarily for the amount requested.   While we try to help anyone who truly has need for assistance, we are limited by following strict income guidelines.  Your explanation of need, which is at the bottom of this form, will provide additional information to help us determine your ability to pay, and/or your need for assistance. Once completed you must mail or email a cover letter and any supporting documents explaining need or hardship as well as the last two years’ federal and state income tax returns for all adults contributing to the care of the player. These documents should be emailed to info@centraljerseyfutsal.com or mailed to Central Jersey Futsal PO BOX 938 Jackson NJ 08527
Sign in to Google to save your progress. Learn more
Email *
Individual Player Name
Team Name (If applying for team financial aid, please forward this application to all players on your team that need financial aid. Each player in need of aid must fill separate forms.) *
Financial Aid amount requested *
Birth Year
Gender *
Home Address
Parent/Guardian Name *
If Parents are divorced or separated, is the other parent (not residing at this address) also financially responsible for the player (select Yes, No or Not Applicable)? Please note that income from ALL adults responsible financially for the player must be included for consideration in this application. * *
Telephone Number *
How many people are supported by your household income? (Number of adults) *
How many people are supported by your household income? (Number of children) *
Total gross income earned by All adults in your household last year: *
Check any assistance the player's family receives *
Required
Read to accept the following agreement:
I certify that all statements on this application are true to the best of my knowledge. I understand false or incomplete statements shall be sufficient cause for disqualification or dismissal of my financial aid application. I authorize Central Jersey Futsal to make any necessary and appropriate investigation to verify the information contained herein. I expressly consent to verification of my employers and income statements and shall not hold Central Jersey Futsal liable for any information received. I will conform to the rules and regulations of Central Jersey Futsal, and the financial aid can be terminated with or without cause and with or without notice at any time at the option of either Central Jersey Futsal or myself. I understand that no Central Jersey Futsal staff member other than the Director of Administration or President has any authority to enter into any financial aid agreement of any kind at any time OR to make any agreement contrary to this disclaimer.
Click to accept the above agreement: *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms