Scholarship Application Form

Scholarship Application Form

Application for cost adjustment for Hoop Code programs
Player Information

Please fill out this section completely.
Player Name*

First NameLast Name
Player Age*
Current Grade*
Gender*

MaleFemale
Parent Information

Please fill out this section completely.
Parent Name*

First NameLast Name
Email*
example@example.com
Cell Phone*

Area CodePhone Number
Program Cost Adjustment Request

Fill out the corresponding sections that best describes your situation.
Hoop Code Program*

Junior Club Team - $350.00 MonthlyBiddy Team - $695.00 SeasonlyHigh School Team - $995.00 SeasonlySkills Training Membership - $135.00 MonthlySeasonal Camp - $295.00 Weekly
How much can you afford for this program?*
Other Circumstances (Optional)

In the Space below (or typed on a separate page, or in an email), please describe any other reasons or circumstances (past, present, or future) that you feel increase your qualification and/or need for financial assistance at Hoop Code (e.g., family circumstances, income hardship, conflicting logistics, other restrictions; etc.).
Reason or Circumstance:
Conditions Upon Acceptance
If your application is accepted, understand that the scholarship & financial discount offered to you from Hoop Code is conditional and that to continue receiving the same you (and the awarded player) must:

a. Maintain credible behavior and conduct in accordance with Hoop Code standards.

b. Payments must be on time. Any unsuccessful payments or past due accounts must be rectified within one week.

c. Inform Hoop Code administration when the need for adjustment no longer exist.
Signatures
I affirm that the information in this form is true and accurate according to my knowledge.
Parent Signature*
Type Full Name
Date*

DayMonthYear
Thank you for your scholarship application!

You will receive a response from our Finance Team, finance@hoopcode.com, within 3 business days. Please be sure to check your spam/junk folder for emails from us
Should be Empty:

Scholarship Application Form

Player Information

Parent Information

Program Cost Adjustment Request

Other Circumstances (Optional)

Conditions Upon Acceptance

Signatures

Thank you for your scholarship application!