2024-25 Season Financial Aid Application

Player Name:*

First NameLast Name

Date of Birth*

Date

Gender*

MaleFemale

Player E-mail:*

example@example.com

Player Cell Phone:*

Area CodePhone Number

Player's Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

1st Parent/Guardian Name:*

First NameLast Name

1st Parent/Guardian E-mail:*

example@example.com

1st Parent/Guardian Cell Phone:*

Area CodePhone Number

only if different than player's, 1st Parent/Guardian Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

1st Parent/Guardian Employer*

1st Parent/Guardian Job or type of work*

2nd Parent/Guardian Name:

First NameLast Name

2nd Parent/Guardian E-mail:

example@example.com

2nd Parent/Guardian Cell Phone:

Area CodePhone Number

only if different than player's, 2nd Parent/Guardian Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

2nd Parent/Guardian Employer

2nd Parent/Guardian Job or type of work

How many years has your family been a member of the DVFC?

Player1 Name

Player1 Date of Birth:

Date

Player1 Gender

MaleFemale

Player1 School

P1 Current GPA/(Pass/Fail)

P1 Please upload latest Report Card

Upload a File

Player2 Name

Player2 Date of Birth:

Date

Player2 Gender

MaleFemale

Player2 School

P2 Current GPA/(Pass/Fail)

P2 Please upload latest Report Card

Upload a File

Player3 Name

Player3 Date of Birth:

Date

Player3 Gender

MaleFemale

Player3 School

P3 Current GPA/(Pass/Fail)

P3 Please upload latest Report Card

Upload a File

Is your current financial situation temporary?

YesNo

If Temporary, please explain

Are you a single income or multiple income family?

SingleMultiple

Have you completed a 2023 IRS Income Tax Return?

YesNo

If Yes, What is your 2023 Adjusted Gross Income? If each parent/guardian files a tax return, what is the total 2023 Adjusted Gross Income for both tax returns?

If you have not filed your 2023 IRS Tax Return please provide your estimated adjusted gross income for this last year?

Please provide a copy of the page(s) that include your Adjusted Gross Income on your 2023 tax return or, if you have not filed your 2023 return, please provide your 1099's or W2 forms to provide total income. Please redact/blackout/cover up all social security numbers.

Upload a File

Is your family or household currently receiving benefits from any of the federal benefits programs listed?

Supplement Security IncomeFood StampsFree or Reduced Price school lunchTemporary Assistance for Needy Families (TANF)Special Supplement Nutrition Program for Women, Infants, and ChildrenRental/Housing Assistance

How many people are in your parents’ household?

This includes all children, adults and adult children living in your home.

How much assistance towards Diablo Valley Futbol Club fees are you requesting?

Enter the monthly payment amount you are comfortable paying?

Enter in the monthly rent or mortgage payment for your home?

Enter in the year/make and model of all cars in your household?

Please explain in as much detail as needed your reason(s) for requesting financial aid? Please let us know if the player is working and supporting the family or paying their own fees.

Have you ever been a volunteer for Diablo Valley Futbol Club?

YesNo

Explain

If scholarship is granted, are you willing to commit to the 20 hrs min volunteer requirement?

YesNo

Please direct any questions you might have to: Karla Ibanez

dvfcfinancialaid@gmail.com

Terms of the Diablo Valley Futbol Club Scholarship Policy
The DVFC Scholarship Committee meets as needed to process applications. Diablo Valley Futbol Club reserves the right to discontinue scholarships at any time if the information provided is inaccurate. Partial aid may be awarded based on the decision by the DVFC scholarship committee.
Note: Scholarship is a partial award of the fees; Parents will continue to pay a portion of the fees based on the amount of scholarship awarded.
I, the applicant, have read and agree to the terms of the Diablo Valley Futbol Club scholarship policy and any requirements outlined on this application. I am
requesting that my player be placed on aid status with DVFC. Everything I have stated in this application is true. I understand that you will retain this application. I agree to answer questions and supply any information that the Diablo Valley Futbol Club scholarship committee requests.
We hereby request scholarship from the Diablo Valley Futbol Club:

Parent(s)/Guardian Signature

Date

Print Name

Parent(s)/Guardian Signature

Date

Print Name

Financial Aid Application

A. Player Information

B. Parent/Guardian Information

List all children in your family playing with Diablo Valley Futbol Club that you are requesting financial assistance for:

C. Assessment of Need: