Five Star Life Scholarship Application

Five Star Life Scholarship Application

Please fill out this application if you are in need of financial aid.
Student Information
Student Name*

First NameLast Name
Student Grade*
Student School*
Five Star Life Program Area*

Five Star Open Programs at SummitFive Star Life Basketball
Specific Program that was Registered For (Scholarship Applications should NOT be submitted until AFTER the program registration has been completed)*
ex. Youth Development League, Archery Club, etc
Parent/Family Information
Parent/Guardian #1*

First NameLast Name
Relation to Student*
(Mother, Father, Grandparent, etc.)
Email*
example@example.com
Cell Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current Place of Employment*
Title*
Yearly Salary*
Parent/Guardian #2 (if not applicable, enter N/A)

First NameLast Name
Relation to Student
(Mother, Father, Grandparent, etc.)
Email
example@example.com
Cell Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current Place of Employment
Title
Yearly Salary
Do you have multiple students in the Five Star Life Programs? If so, how many? *
Does the child live in a single parent household?*
How many children live in the household?*
Does your child receive free or reduced lunch?*
What is your scholarship need? *
ex. We can afford to pay for $x.xx of the program.
Please explain reason(s) for need of assistance. *
Please include any other information you feel necessary here.
Each financial aid application is carefully reviewed through our detailed review process. Please understand that not everyone will be guaranteed to receieve the financial aid that has been requested.
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Five Star Life Scholarship Application

Student Information

Parent/Family Information