Idaho Falls Hockey Scholarship Form
Player Information
Player Name
First Name
Last Name
Player Date of Birth
-
Month
-
Day
Year
Date
Divsion in which player will be playing
8U
10U
12U
14U
18U
Parent Information
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Marital Status
Single
Married
Spearated
Divorced
Number Of Dependents
Employer
Employer Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer Phone
-
Area Code
Phone Number
Length of Employment
Parent 2 Name
First Name
Last Name
Parent 2 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent 2 Phone
-
Area Code
Phone Number
Parent 2 Email
example@example.com
Marital Status
Single
Married
Separated
Divorced
Employer
Employer Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer Phone
-
Area Code
Phone Number
Length Of Employment
Family Income/Expense
Total Monthly Take Home Pay
Other Monthly Income
Total Monthly Expenses
Other Information
Please write a brief paragraph noting any other information you consider important in regards to this scholarship application.
Will your player be able to participate in IFYHA programs without scholarship assistance?
Will you commit to all IFYHA fundraising events?
Yes
No
Will you commit to your player attending all on and off ice events?
Yes
No
Will you commit to all volunteer responsibilities?
Yes
No
Player Signature
Date
-
Month
-
Day
Year
Date
Parent 1 Signature
Date
-
Month
-
Day
Year
Date
Parent 2 Signature
Submit
Should be Empty: