GSYSL Scholarship Application Date:___________
Player
Name: ______________________ Club name:______________________
Parent
Name: _______________________
Season: Fall or Spring
(circle one) Address:____________________________ Evening phone: __________________
Town:_______________________________ Daytime phone:
___________________
Team name
and age:________________
Club
contact:_______________________ Club contact
phone:________________
Coach’s
name: _____________________ Coach contact phone:_______________
GSYSL
team fee (excludes
indoor training, tournaments, camps) ________________
Amount you
are able to pay:
_____________
Amount
requested for scholarship: _____________
GSYSL
scholarship funds are for the cost of playing in GSYSL only. Indoor training,
tournaments and soccer camps are NOT
eligible for GSYSL scholarship funds.
GSYSL offers scholarships to those players that demonstrate financial need. Please explain in the following paragraph why you are in need of financial assistance. Providing more information to the board of directors of GSYSL, allows us to make a better decision for both the applicant and the league. Help us help you by providing as much information as possible to assist us in our scholarship decisions. Use back of form if needed.
Deadline for Fall applications must be postmarked August 21, 2010
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Did you
receive assistance from GSYSL last season?
Y N (please circle one)
GSYSL use only:
Date submitted: __________ Mail form to:
Paul Lessard
Action date: _____________
Result:
______________
Date and person contacted: ___________________ 03275