Scholarship Application Information Form Purpose of Scholarship opportunities To allow players in the club to participate regardless of their financial situation. Procedure for obtaining scholarship Those interested in obtaining a financial scholarship must apply by completing the FCKC Financial Aid Request form, to be accompanied by a copy of last year's filed federal income tax statement. Summary page with adjusted gross income listed is sufficient. The Scholarship Committee meets 3 times throughout the year to evaluate scholarship needs. Deadlines for submitting forms are as follows: June 28, November 28, and January 5. Those obtaining financial scholarships have additional obligations to fulfill to the club during each season played on scholarship. Some of the additional obligations could include working at club sponsored tournaments, assisting with club sponsored activities such as camps, helping with FC Kansas City professional events, and / or helping with office tasks for the youth club. Failure to complete the scholarship obligation will result in withholding of any further scholarships to recipient and the player’s card of the recipients will be pulled until commitments are fulfilled. Scholarship amount Each application will be reviewed by the scholarship committee, and aid will be distributed based on need when comparing all applicants in the Club. Scholarships will awarded to cover all or a portion of club fees and / or team fees. Individual coaches can choose to scholarship all or a portion of their coaching fees as well. Coaches will work with their team administrators to determine if the coach is awarding a scholarship to a specific player and the team administrator will communicate this to the club office on the designated roster form. Scholarship Application-Financial Aid Request Form Parent name(s):_______________________________________ Address:_____________________________________________ Cell phone:___________________________________________ Email:_______________________________________________ Please indicate family annual income by circling one of the following choices: a) Under $15,000.00 b) Between $15,001.00 – 20,000.00 c) Between $20,001.00 – 30,000.00 d) Between $30,001.00 – 40,000.00 e) Between $40,001.00 – 50,000.00 f) Over $50,000.00 Please list the number of dependents in household:_____________________ Does your family qualify for the “reduced” school lunch program? Yes No Does your family qualify for the “free” school lunch program? Yes No Please list the name of the applicant (s): Player name:_________________________________________ Player’s Age Group:______________________ Team Name_____________________________ Coach’s Name:___________________________ Player name:_________________________________________ Player’s Age Group:______________________ Team Name_____________________________ Coach’s Name:___________________________ Player name:_________________________________________ Player’s Age Group:______________________ Team Name_____________________________ Coach’s Name:___________________________ I understand that I have read the scholarship guidelines of FC Kansas City and I know that if my player(s) receive a scholarship from FC Kansas City, then I will have additional obligations to complete as a result. (Initial here:____________). I also understand that if I do not complete my additional obligations, that my player (s) will not be eligible to receive additional scholarships until the original obligation has been met. (Initial here:_____________) Please attach a copy of last year's filed federal income tax statement. Summary page with adjusted gross income listed is sufficient. Please attach a letter with any additional information that you would like shared with the Scholarship Committee. Applications received without supporting documents will be considered incomplete and ineligible for consideration. Please submit the complete application and all supporting documents to club@fckansascity.com by the deadlines referenced on the Scholarship Application Information Form.