Octorara Area Little League Scholarship Application Form

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Please provide the information below to help us determine the scholarship assistance that may be appropriate for your family. The application process will be strictly confidential. Only the president will have access to all of the original information that is submitted. The president will take each application and assign it a number and present all applications to the Board of Directors without any personally identifying information on it. This respects your privacy while allowing the Board of Directors to evaluate each application on its merits.

Email *

Date of request *

YYYY

Parent/Guardian Name *

Parent/Guardian Phone
*

Player Name
*

Player Date of Birth *

YYYY

Player's Address *

Player School Name *

Player Division *

T-Ball

Minors A

Minors AA

Minors AAA

Majors

50/70 Intermediate

Juniors

Seniors

Required

Have you applied for a T-Mobile Little League Call Up Grant?
*

Yes

Have you previously received a scholarship from Octorara Area Little League? *

Yes

Please explain the circumstances why you should qualify for a scholarship and any financial assistance you currently receive. You may submit documentation to admin@octoraralittleleague.org to support your financial hardship if you believe it will help. The contents of the documentation received will be shared with the Board of Directors but your identity will not be disclosed. *

If there is an amount you can reasonably afford to pay for registration, please enter it below. *

I certify that the information provided above is complete and accurate to the best of my knowledge. I understand that false or inaccurate information may disqualify the player from any current or future league scholarships. Sign below by entering your name. *

I understand that if awarded a scholarship, your name may be disclosed to the Treasurer. Sign below by entering your name. *

Send me a copy of my responses.

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