2026 Football Scholarship Assistance Request Flag, 8U, 10U and 12U teams.

2026 Football Scholarship Assistance Request Flag, 8U, 10U and 12U teams.

*Only one scholarship per team will be granted. *Only one scholarship per family will be allowed.
By checking each box you understand eligibility information and commitments required for receiving a MYA Scholarship.
Signature
Athlete & Parent/Guardian Information
Date of Application

MonthDayYear
Date
Athlete’s First & Last Name
Birth Date

MonthDayYear
Date
Gender
Parent/Guardian Name
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Home/Cell Phone #
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Division
Scholarship History & Eligibility
Has the athlete ever received a scholarship from MYA?
Is the athlete approved for free or reduced price lunches through the school district?
School Name
Does the individual applying receive Food Stamps or similar benefits?
Athlete lives with

Other
Total Household Annual Income
Number of dependent children in your household
Parent/Guardian Employment
Father’s Name
Father’s Employer/Occupation
Mother’s Name
Mother’s Employer/Occupation
Guardian’s Name
Guardian’s Employer/Occupation
Consent/Authorization
Printed Name
Signature of Person Completing Scholarship Form
Address of Person Completing Form
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Applicant
Only one scholarship will be granted per age division.

Please wait for a MYA Board member to reach out an let you know if you were approved for this scholarship.
Should be Empty:

2026 Football Scholarship Assistance Request Flag, 8U, 10U and 12U teams.

Athlete & Parent/Guardian Information

Scholarship History & Eligibility

Parent/Guardian Employment

Consent/Authorization

Only one scholarship will be granted per age division.