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Hardship Scholarship Application
FIELDS MARKED WITH AN ASTERISK ARE REQUIRED
Player Information
Player First Name:
*
Player Last Name:
*
Birth Year:
*
Last Team played for:
Team Expected to play for:
Parent/Guardian Information
First Name:
*
Last Name:
*
   
Address:
*
City:
*
State:
*
   
   Zip:
*
   
Phone (Primary):
*
Phone (Work):
Phone (Cell):
Email Address:
*
Financial Information
Has your child received an EYHBC Hardship sponsorship before?
*
   
Has your child attended hockey camps, clinics, taken private lessons or played in other leagues in the last calendar year?
*
   
If yes, please give detailed information
Annual household income:
*
Source of Income:
*
            
Other Income Source:

What is your financial situation that leads you to request EYHBC Tuition Assistance?
*



What have you done to cut costs to pay for your fees?
*



Please provide your budget information to support your request.
*


How much money do you feel you can contribute towards your registration fee?
*
What is the amount you are requesting for sponsorship?
*
Recreational up to $960 Tier II up to $1440 Tier I up to $1920 also that at this time there are no funds available for Tier I
  I am an EYHBC Member
*
 
I agree to provide up to 25 hours of service to EYHBC within the hockey season or as required by the EYHBC.
*
I hereby state that the information above is valid and true at the time of this application submission.
*
View Hardship Scholarship Terms
I have read and agree to the EYHBC Hardship Scholarship Terms
*
Please keep in mind all tuition assistance is contingent on there being funds available in the EYHBC assistance fund. We will be in contact with you if we require further information about your financial situation and to notify you of the status of your application.