Scholarship Application | West Academy Website

Scholarship Application Form

The scholarship program is intended to serve youth who, without this fund, would be unable to participate in the West Academy Organization.

Please make a note of the volunteer requirements for those requesting a scholarship.

PLEASE COMPLETELY FILL OUT THIS FORM. INCOMPLETE FORMS MAY BE GROUNDS FOR DISQUALIFICATION.

PROGRAM

Player First name

Player Last name

Player Date of Birth

Month

Day

Year

Gender

Grade

Are you Hispanic or Latino?

Regardless of your answer to the prior question, please indicate the race of your player. (Select one or more).

Parent/Guardian First Name

Parent/Guardian Last Name

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Funds Available

Your Situation

CERTIFICATION

I certify that the above information is true. I understand that disclosing false information is grounds for my player's disqualification from the West Academy Organization scholarship program.

ACKNOWLEDGEMENT

I agree that for every $15 in scholarship funds that I receive, I will provide 1 hour of volunteer work to the West Academy Organization during the course of the season.