Scholarship Form - Hardship - Maple Valley Soccer Association

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MPVSA Scholarship Application and Approval Guidelines
MpVSA is dedicated to providing an excellent soccer experience to all eligible players. It is our
hope that no players opt out of soccer for financial reasons. Scholarships (financial assistance in the form
partial payment of registration fees) will be available to needy players in accordance with the following
guidelines and subject to the MpVSA scholarship budget.
All families receiving scholarship monies will be required to volunteer time for the association. MpVSA
will have multiple opportunities to fulfill this requirement.
Competitive Level Players
Parents of players requesting financial assistance should:
 Submit a completed registration and scholarship request to the coach as soon as possible upon being
selected for the team.
(It is recommended that parents/players who receive scholarship funds shall make every effort to
become an active member of MpVSA through a reasonable amount of volunteer efforts with their team
and/or league.)
Coaches of players requesting financial assistance should:
 Forward the player’s scholarship application to the Registrar with the team packet by the June 5th
deadline.
 Provide written support for the scholarship recipient to the Scholarship Committee upon receipt of the
scholarship application.
 Recommend volunteer efforts to the scholarship family/ player.
In order for a scholarship application to be considered by the MpVSA Scholarship committee it must:
 Be submitted in writing to the Executive Board prior to the deadline;
 Include written support from the team coach;
 Demonstrate a reasonable need;
 Be limited to up to one scholarship per team; (unless extenuating need is presented by the coach.)
Partial scholarships may also be awarded.
 Be awarded subject to the MpVSA scholarship budget.
Modified and Recreational Level Players
Parents of players requesting financial assistance should:
 Submit a completed registration and scholarship request to the MpVSA Registrar by the league
deadline (June 1st)
The MpVSA Scholarship Committee will consider MOD and REC scholarship applications that meet the
following criteria:
 Scholarship request and league registration turned in by the registration deadline;
 Parent provided reasonable demonstration of need;
 The amount awarded is subject to MpVSA scholarship budget.
You may qualify for scholarships if your annual incomes is less than those listed below. Maple Valley
Soccer Association reserves the right to utilize a lottery system for the distribution of scholarships in the
case whereby there are more applicants than funds available. Scholarships will be available to pay 50%,
25% & 10% of the program fees.
Family Size
Scholarship Level
Income - 10%
Income - 25%
Income - 50%
1
$31,000
$26,000
2
3
Income Level
Other Cases
$33,000
$35,000
$28,000
$30,000
4
$37,000
$32,000
MpVSA SCHOLARSHIP REQUEST FORM
MpVSA is dedicated to providing an excellent soccer experience to all eligible players. It is our hope that
no players opt out of soccer for financial reasons. Scholarships (financial assistance in the form of full or
partial payment of registration fees) will be available to needy players in accordance with the following
guidelines and subject to the MpVSA scholarship budget. Parent/guardian agrees to keep their account
current by paying the initial registration fee before submitting the scholarship request form.
Please Mail Completed Forms To: MpVSA ATT: MpVSA Scholarship committee - 26828 Maple Valley
Hwy #208 - Maple Valley, WA 98038 or e-mail MpSAScholarshipCommittee@maplevalleysoccer.com
Player(s) Name: ______________________________
______________________________
______________________________
______________________________
Parent/Guardian Name(s): ______________________________
Address_________________________________________________________________
City, State: _______________________________
Zip Code: ______________________
Phone: _____________________________ E-mail: ______________________________
Level of Play (Circle One) Competitive
Recreational
Modified
Coach and Team Name (If known): _____________________________________________
Items not covered by scholarship:

Travel Expenses, Gear and Tournament Fees.
Scholarship Amount Requested:
___ 50% / ___ 25% / ___ 10%
Have you received a Previous scholarship(s) through MpVSA:
If yes, please list year(s) ______________________________
INCOME VERIFICATION
Monthly Income (include all sources including assistance and child support) $ _________________
Number of Adults supported by above income: __________
Number of children supported by above income: _________
Please Attach Two of Following Verifications:
Federal Income Tax Filing for previous year (W2 forms do not qualify)
Two months of paycheck stubs (Most Current)
Current Statement of award or benefits for TANF, SSI, GAU or other public assistance
Most recent unemployment check stubs
Two months of bank statements
Please describe your personal circumstances. Information will remain confidential (use back if needed) :
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We require those requesting a scholarship; participate in three (2/3) Club fundraising activities as requested
by the Board. Furthermore, we ask for family members to participate in three (2/3) Club volunteer tasks as
requested by the Board.
I certify that the above information is true and complete to the best of my knowledge. I understand the
above agreement and my obligations. I further understand that the Maple Valley Soccer Association policy
for payment applies to this agreement.
By signing below I understand and we agree to fulfill these requirements.
Parent or Guardian Signature________________________________________________
Coach Signature (Competitive Players Only) ________________________________________
FOR OFFICIAL BOARD USE ONLY
Approved Scholarship Amt ____________ Amt Family will contribute ______________
Parent Notification ____________Coach Notification ____________ Volunteer Hrs Required ________
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