Scholarship Application Form

Scholarship Application Form

AFC Rochester
Parent's Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Player's Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*
Will the player hold secondary status as a result of being rostered on a premier team?*

YesNo
Team NameClub Name
Type of Financial Assistance:*

Tuition assistanceUniform assistanceTournament assistance
Assistance Request:*
example: 25%, 50%, 100%
Please provide a reason why are you applying for a scholarship.*
Acknowledgment:
I certify that the information provided in this application is true and accurate. I understand that submitting this form does not guarantee a scholarship and that funds are limited. If awarded financial assistance, I agree to ensure my child attends practices and games regularly and participates fully in the program.
Should be Empty: