I understand...
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The available scholarship may cover the full or partial cost of a USA Rugby Academy Training or Resident Camp, but does NOT cover travel expenses or other associated camp expenses.
Player information
Full Name
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First Name
Last Name
Phone Number
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Area Code
Phone Number
E-mail
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Which program are you applying for?
Birthday:
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Current age
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2016 - 2017 Year in school
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Club / Team and State
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List the teams (including select sides and all star teams) that you have played for.
Family Background
Single parent head of household
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Please Select
Yes
No
Ill or disabled parent unable to work
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Please Select
Yes
No
Number of brothers and sisters living at home
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In 2013 - 2016, did anyone in your household receive any of the following:
Supplemental Security Income (SSI)
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Please Select
Yes
No
Temporary Assistance for Needy Families (TANF)
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Please Select
Yes
No
Supplemental Nutrition Assistance Program (SNAP)
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Please Select
Yes
No
Special Supplemental Nutrition Program for Women, Infants and Children (WIC)
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Please Select
Yes
No
Free or Reduced School Lunch
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Please Select
Yes
No
Housing, food and other living allowances paid to members of the military, clergy or others
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Please Select
Yes
No
Combat pay, or special combat pay
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Please Select
Yes
No
In 200 Words or less, tell us why we should choose you to receive this scholarship.
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Upload References If Available
Instagram Account
Twitter Handle
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