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Mike Ferraro Hardship Scholarship Application
FIELDS MARKED WITH AN ASTERISK ARE REQUIRED
Player Information
Player First Name:
*
Player Last Name:
*
Birth Year:
*
Youth Hockey Association:
*
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 household 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?
*
  I am an EYHBC Member for 2017-18
*
 
I agree to provide up to 40 hours of service to EYHBC within the hockey season or as required by the EYHBC.
*
I agree to have the player write a letter to Mike Farraro's father telling him why they like playing hockey and what they hope to do with their life.
*
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.