Tri-City Eagles Scholarship Application

Tri-City Eagles Scholarship Application

2024-25 Season
Please provide all of the information requested below. Failure to provide all of the information may slow processing of your application. Please sign the application and submit your signed application by pressing the submit button. If you have any questions regarding this application, please contact Mike Pleszkoch at scholarship@tricityeagles.com. All communication regarding the scholarship application, including notification of award, will be with the applicant via email. Scholarship application information will be kept confidential.
Applicant Information

Primary Contact For Scholarship (Financially Responsible For Registration)
Name*

First NameMiddle NameLast Name
Relationship To Player*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Player Information

List All Youth/Girls Players In Your Household Whom You Are Financially Responsible
Player #1
Player Name*

First NameLast Name
Date Of Birth*

MonthDayYear
Date
Home Address (If Different From Above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email (If Different From Above)
example@example.com
Current School*
School Grade Level*
GPA For Current School Year*
TCE Team For Current Year*
Would You Like To Add Another Player*
Player #2
Player Name

First NameLast Name
Date Of Birth

MonthDayYear
Date
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Current School
School Grade Level
GPA For Current School Year
TCE Team For Current Year
Player #3
Player Name

First NameLast Name
Date Of Birth

MonthDayYear
Date
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Current School
School Grade Level
GPA For Current School Year
TCE Team For Current Year
Employment & Financial Information

Applicant
Occupation*
Employer*
Annual Income*
Additional Income To Be Considered
Description Of Additional Income
Applicant Total Income*
Would You Like To Add An Additional Person's Income*
Example: Spouse
Employment & Financial Information

Other
Occupation
Employer
Annual Income
Additional Income To Be Considered
Description Of Additional Income
Other Total Income
Total Family Income
From All Sources
Does Family Own or Rent?
Leave Blank If Other
Monthly Rent/Mortgage
The Required Minimum Monthly Rent or Mortgage Payment
Please Provide Any Additional Information That You Wish To Share
Example: special situations, extenuating circumstances, etc.
Scholarship Terms and Conditions

- Additional information, including but not limited to IRS Tax Return information, school free/reduced price lunch verification, etc. may be requested to supplement the information provided on the application. TCE will contact the applicant if additional information is required.

- TCE will not release the names of scholarship recipients without consent of the applicant except as required by law.

- TCE Scholarships and the amounts awarded are solely at the discretion of the TCE Executive Board of Directors (EBOD) and scholarship committee. Decisions by the EBOD and scholarship committee are final.

- Scholarship Player(s) are expected to maintain a 2.0 GPA (C-average) in their respective schools. Applicant may be requested to provide proof of player GPA.

- Award of scholarship is for the 2024-25 season only and does not automatically
renew.

- Scholarship Player(s) must remain in good standing with TCE and must adhere to TCE rules and TCE Code of Conduct. Violations of TCE Rules or Code of Conduct may result in loss of scholarship at the discretion of TCE EBOD and Scholarship Committee.

- Scholarship Players must remain in good standing with USAHockey and the leagues in which the team/club is affiliated. Disciplinary action by USAHockey or the league may result in loss of scholarship at the discretion of TCE EBOD and Scholarship Committee.

- Scholarships will be awarded in the form of a discount to Club Fees.

By signing the space below, you are certifying that all information is correct and that you are the person completing this application. You are also certifying that you have read and agree to the terms and conditions of this application.
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Tri-City Eagles Scholarship Application

Applicant Information

Player Information

Player #1

Player #2

Player #3

Employment & Financial Information

Employment & Financial Information