APPLICATION FOR SCHOLARSHIP ASSISTANCE PROGRAM River City Premier Futbol Club Player InformationPlayer Name* First Last Birth Date* Date Format: MM slash DD slash YYYY Age Group:Premier Team:Head Coach:Parent/Guardian InformationParent Name* First Last Parent Name (2) First Last Home Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneCell PhoneEmail* Enter Email Confirm Email Occupation (1)Occupation (2)REASONS FOR REQUESTING SCHOLARSHIP ASSISTANCEPlease briefly describe the reason(s) that you are requesting scholarship assistance at this time (Limited income, special circumstances, or hardship such as seasonal employment, temporary job loss/lay off or disability). Parent’s previous year’s tax returns, W2/1099, must be included for application to be accepted. Premier Futbol Academy of San Antonio has the right to request further information to verify financial need to determine qualification for scholarship assistance.Previous Year's Tax Returns/Financial Documents Drop files here or Please indicate how much assistance is being requested (i.e. total or partial registration fees, and/or total or partial monthly club training fees):How much can your family afford in tuition each month?This form is an application for consideration for the Premier Futbol Academy of San Antonio Scholarship Assistance Program.* I understand that submitting this form does not guarantee approval I understand that this form must be submitted to the Scholarship Committee of the Premier Futbol Academy of San Antonio in order to be considered for scholarship I understand that this application will be reviewed by the Scholarship Committee and notification of the decision will be provided in writing I understand that all information will remain confidential I understand that I will contact the club at scholarships@rivercitypremierfc.com IMMEDIATELY, if my financial situation changes SignatureDate* Date Format: MM slash DD slash YYYY
