Scholarship Request Form

Eagle Youth Football provides registration fee scholarships to local athletes who, without this financial assistance, would not otherwise be able to participate. The Scholarship Assistance program focuses on providing opportunities for our area youth to participate in football for the physical, mental, and character-training benefits that this program can provide. Scholarship assistance will be dependent upon MYFA funds available and the actual need shown.

Please be aware that at MYFA our Financial Assistance Funds are limited! Our primary goal is to help as many young athletes participate in MYFA that we possibly can.

Date of Application:
Use YYYY-MM-DD format.

Player Name:

Phone Number:

Address:

What is the annual household income?

Household Size:

What is the maximum amount you can pay towards registration fee?

Do you receive or qualify for the Free and Reduced-price meals program through the school district?
YesNo

Is a payment plan an option instead of a scholarship?

If awarded with a scholarship would you be willing to volunteer in some capacity to MYFA?

Please explain your request/cirumstances:

The Financial Committee will review your application and determine if you qualify for an award. Please make sure all information is complete and correct. Any personal information that you are required to provide will be kept confidential within the Board of Directors.

Consent to Release Information

I understand that my initials will act as my signature. My signature authorizes MYFA to obtain verification of all the information on this application and that additional information may be necessary for approval of this application. I certify that all of the information is true and correct. I understand that my child(ren)'s participation in this program requires a commitment to attend a minimum of 80% of the scheduled practices and games. I agree to notify MYFA of any change in my income or ability to pay. I am aware that assistance funds are awarded for a maximum of one year, after which time it is my responsibility to reapply.

Parent/Guardian Name:

Parent/Guardian Initials:

Parent/Guardian Email:


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