Michael Brown Scholarship Application

Mike Brown Memorial Scholarship Application

Presented by the Bloomington-Normal Baseball Association and the Brown Family
BNBA's baseball scholarship program has been created to encourage and allow

access to youth baseball for participants who otherwise may not have the

financial means or opportunity to participate. Program funds are available to

assist families who cannot afford the fees asociated with participation in the

BNBA youth baseball program. The Committee will consider many factors when

evaluating eligibility for financial assistance through the program. These

circumstances may include, but are not limited to, a family hardship or burden,

illness, loss of compensation or other changes in financial position.
Child's Name

First NameLast Name
Child's Date of Birth

MonthDayYear
School Child Attends
Parent/Guardian Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
In order to provide more scholarship opportunities, the Bloomington-Normal

Baseball Association will no longer provide full (100%) scholarships. Applicant

may apply for either a 30% or 75% scholarship. You will be responsible for the

remaining balance not covered by the scholarship you qualify for.
Eligibility For 75% Scholarship (one or more of the following)

MedicaidLink CardAid For Dependent ChildrenAssistance For Needy Families
Eligibility For 35% Scholarship (one or more of the following)

Free or Reduced School LunchWick
Please provide documentation required based on the level of scholarship you

are applying for. Application should be submitted by March 31, 2024.

P.O. Box 3324 Bloomington, IL 61702

309-829-2129

bnba.baseball@frontier.com

www.bnba.net
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Mike Brown Memorial Scholarship Application