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Financial Aid Application - 2013
Please read instructions and guidelines BEFORE completing this form!!
Deadline: June 15, 2013!
Financial Aid Application
Confidential Use Only
Applications for financial aid will NOT be considered complete if the required documentation is not attached.
Player Name
*
First Name
Last Name
Parent (Guardian) Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
People's Republic of China
Republic of China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
Spain
Sri Lanka
Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Phone Number
*
-
Area Code
Phone Number
E-mail
*
Age Group
*
07
06
05
04
03
02
01
00
99
98
97
96
95
Gender
*
Boys
Girls
Coach Name
P Barkley
A Griffiths
A Newell
E Escobedo
W Roberts
M Parker
L Arundell
A Lewis
Blake Lewis
J Crouch
M Miller
D Melton
T Neuhauser
D Carreno
M Garcia
R Beattie
J Rozell
B Nigh
M Blackwell
J Elkington
R Pore
M Griffin
J Williams
J Bedwell
R Ragland
D Sharp
John Rhein
J Lundy
G Rusling
J M Waite
D Bradshaw
S Kitterman
T Diver
O Bent
E DeFreitas
C Spears
K King
J Hubbard
M Reiswig
R Hart
D Bradford
M McIntosh
N Baker
K Cussen
A Miranda
C Mansfield
D Burd
D Kepley
K Shubert
K Killingsworth
M Shannon
J Gaines
E Edwards
Amanda Carreno
M Howe
C Amos
D Bolding
M Nsien
D Cosby
D Yates
G Stump
J Harding
B Bear
George C
Not Listed
Number of Years in TSC or Hurricane
*
Name of School Player Attends
*
Parent's Place of Employment
*
Is the Player on school-assisted lunch program?
*
Yes - Qualifies for Full Reduced Lunch Program
Yes - Qualifies for Partial Reduced Lunch
No
Do you qualify for Food Stamps?
*
Yes
No
Financial Aid Requested
*
Annual Registration Fee
Monthly Club Fees (does NOT include Team Fees)
Please Briefly Explain Your Reason for Financial Assistance including any Special Circumstances
*
Please attach your qualified aid documentation here. Your application MUST include the proper documentation to be considered for acceptance! (e.g. Reduced Lunch Program Eligibility Letter, Food Stamp Assistance Latter, etc.)
*
All Player Recipients of financial aid are required to provide a minimum of 5 volunteer hours each season (example: assist in training younger players, working tournament or field work day) Are you willing to volunteer to meet this commitment?
*
Yes
No
I understand that by applying for financial aid does not automatically grant me financial aid. I certify that the above information is correct and true to the best of my knowledge. I further understand that this information is being provided for consideration of financial aid; that the Tulsa Soccer Foundation may request verification of this information; and that deliberately providing inaccurate information may result in the forfeiture of the financial aid but I also understand that will not release my financial liability to the club/team.
*
I accept
I further understand that by accepting this financial aid also is an agreement of obligation to TSC Hurricane. I understand that if I ever choose to transfer to another club, I will not be granted a release until I pay back the full amount of financial aid awarded to me.
*
I accept
Once you submit this form the application process is NOT completed! You also need to scan and email documentation of the CURRENT YEAR Lunch Assistance or Food Stamp qualification. You may email to tschurricane@me.com or mail to: Tulsa Soccer Foundation, PO Box 243, Jenks OK 74037. You will receive an email regarding the status of your application once all required material is received. Please allow 30-60 days for processing.
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© Copyright 2013 Tulsa Soccer Club Hurricane. All rights reserved.
© Copyright 2013
Demosphere International, Inc.
All rights reserved.
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