SSM Scholarship Form

Name*

Current address*

City*

State*

ZIP Code*

Phone*

Athlete Name*

Email*

example@example.com

Date of Birth*

Date

School*

Grade*

Scholarship for desired sport:*

Other:

I understand that my child's participation in this program requires a commitment to attend a minimum of 80% of the scheduled practices and games.

Request for Scholarship: (Please select one)*

My child is currently enrolled in a public assistance program such as Free or Reduced Lunch,ADC, Foster Care, or Medicaid. I understand that I must submit proof that I am receivingservices.Written Request from Parent/Guardian demonstrating an immediate financial hardshipWritten recommendation by school representatives, social workers, youth sports organization coach or other official, or other social services representatives

PRIVACY: I understand that my child’s registration information is private and will not be disclosed unless required to under thelaw, or as requested by State or Federal agencies, without my permission, unless I specifically grant that this information can bereleased; therefore:*

I grant SSM permission to release my child’s name and/or photo.I do not grant SSM permission to release my child’s name and/or photo

Signature of Parent/Guardian*

Date*

Date

Stanwoodspartanmoms.org

Facebook.com/stanwoodspartanpowderpuff

Stanwood Spartan Moms -

Youth Sports Scholarship

Stanwood Spartan Moms (SSM) may grant registration fee scholarships to children who, without this financial assistance, would not be able to participate in one of the Stanwood Youth Sports programs.

The SSM Youth Sports Scholarship program focuses on providing opportunities for the Stanwood/Camano area youth to participate in recreational team sports because of the physical, mental, and character-training benefits these programs can provide. Scholarships are only available to cover the cost of registration for recreational teams and are not available to cover any additional costs (uniforms, equipment, tournaments, etc) (Registration Scholarships are not available for public school or YMCA sponsored sports)

Scholarship requests must be submitted to SSM no later than two (2) weeks prior to the regular registration deadline. Scholarships will not be awarded until one week prior to the registration deadline.

The scholarship committee, which includes the Sports Delegate and the Administrator, will consider all complete applications received by the application deadline. The amount of the scholarship awarded (if any) may be a partial or full scholarship depending on the number of applicants, and amount of scholarship funds available. Scholarships are awarded for one sport per registrant and are only valued for one sport at a time. therefore. individuals must reapply for each sport and year they are requesting assistance.

SSM is a 501c3. non-profit organization with a limited amount of funding available for athlete scholarships. No guarantee of assistance is implied in this application. If the number of applications submitted and approved exceeds the amount available; the scholarships shall be awarded by a lottery system.

Requirements for eligibility:

1. Athlete must be age 18 or younger and must reside within the Stanwood Camano School District Boundary (or allowed to participate in sports thereof)

2. Commitment to attend a minimum of 80% of scheduled practices and games.

3.Application must be completed by a parent, guardian, or head of household, with all requested information provided. Incomplete applications will not be considered. The application is on the following page. Consideration will be given to eligible youth meeting one or more of the criteria below. The more information you can provide us the better able we will be to determine hardship.

Receiving assistance from programs such as: Food Stamps, Medicaid, SSI, Foster Care, WIC. etc. (Please provide written documentation of participation in these programs
Written recommendation by school representatives, social workers, youth sports organization coach or other official, or other social services representatives.
Written request from a parent or guardian demonstrating an immediate financial hardship.

SSM does not discriminate based on gender, race, class, economic status, ethnic background, sexual orientation, physical ability, or cultural and religious backgrounds.

*Please note: Approval of a scholarship does not register the participant in the activity. Your athlete must be registered before the scholarship can be awarded.

Stanwood Spartan Moms

APPLICANT INFORMATION

CONSENT TO PARTICIPATION:

Stanwood Spartan Moms -

Youth Sports Scholarship