UBS Scholarship Request Form

UBS Scholarship Request Form
Name of Athlete*

First NameLast Name
Birthdate*

MonthDayYear
Age*
Grade level*
Parent/guardian name*

First NameLast Name
E-mail*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Which sport are you requesting a scholarship for?*
Only sports with open registration will show in the drop-down.
Amount of scholarship requesting: *

FullHalfOther
Describe your need for a scholarship: *
Please be as specific as possible.
Your answers to the following questions do not effect your eligibility to receive a scholarship.
Have you received scholarship assistance before through Upward Bound Sports?*

YESNO
If you answered yes, which sport or program?

SoccerBasketballFootballBaseballCheerSports CampOther
Do you attend a church?*

YesNo
If yes, what church do you attend?
How long have you attended church?
THIS FORM IS NOT YOUR REGISTRATION AND WILL NOT RESERVE YOUR SPOT IN THE PROGRAM.

Scholarship applications are currently under review.
Should be Empty: