Download Smyrna Soccer Club Financial Aid Application Page 1 of 3

Smyrna Soccer Club Financial Aid Application
***** Please read carefully, due to changes in the financial assistance process
It is the policy of SSC to attempt to provide financial aid to those players who might not
otherwise be able to participate with the Smyrna Soccer Club. This program assists players
with a portion of annual dues. It does not over the cost of uniforms, travel or tournament fees.
Because SSC financial assistance budget is limited, it is possible that SSC will not be able to
meet the needs of all applicants. Since SSC is a volunteer organization, financial aid recipients
will be required to donate 20 hours of volunteer time to help provide additional staffing for
games, tournaments, summer academies, and field maintenance day or contributing volunteer
time for the club. These benefits can be withdrawn for refusal of any of the above or lack of
participation in the club and the full-published fees for annual tuition will be due immediately.
All information is kept confidential. In order for us to better assess your needs, please complete
the following documents requested below. Failure to turn in all required documents may result
in denial of your request.
Please print out document from website and submit to the SSC office by the deadline of
June 6th , 2017 (U9-U13) or June 13th , 2017 (U14-U19). You can also scan documents and
email them to [email protected] by the due date listed above.
Please register for the season before applying for financial aid.
Here is a check list of the required documentation that you will need to turn in to be
considered for financial aid.
Completed Financial Aid Application
_____
Submit copy of all last year’s W-2 income tax forms and a copy of the first 2
pages of last year’s 1040 income tax return.
_____ Copy of most recent school report card (s) showing grades in all classes for
the applicant.
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Smyrna Soccer Club Financial Aid Application
THIS IS NOT A SCHOLARSHIP. FINANCIAL AID ALLOWS FAMILIES TO PAY FEES ON A
PERSONALIZED PLAN ALLOWING YOUTH ATHLETES AN OPPORTUNITY TO PLAY SOCCER AT SSC.
Parents Name: ________________________________________________________________________________
Address: ____________________________________________________________________________________
____________________________________________________________________________________
Phone: _______________________________________ Email: _______________________________________
Occupation: ___________________________________
Employer: __________________________________
Players Name: _____________________________________________ Age: ___________________
Family Size:
Team:
Adults: _____________
Children: _____________
______________________________________
Other: ___________________
Coach: ____________________________
Amount of Financial Aid Requested:
$_________________________
How much tuition can you afford per month :
$_________________________
Current Monthly Household Income:
$ ________________________
Residence:
Monthly Rent or Mortgage Payment:
Lease _______ Own _______
$___________________
Describe your general circumstances or events that necessitate financial assistance to play SSC Soccer:
***********************************************************************************************
Are you aware that if financial Assistance is granted, 20 hours of volunteer service by family is required?
Circle:
Yes
No
Please Circle all Club Activities for Volunteer Interest:
Field Assistance/Manager
Concession Help
Tournament Assistance
Registration/Tryout Assistance
Administrative Support
Other skills you can offer:: ________________________________________________________________________
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Smyrna Soccer Club Financial Aid Application
Privacy Statement
Participants do not have to provide the financial aid application, but if a participant does not,
Smyrna Soccer Club cannot provide financial aid. The Smyrna Soccer Club will use the
information provided for financial aid purposes only. The information will not be shared with
any parties outside of the Smyrna Soccer Club committee or SSC board.
Non discrimination statement
The Smyrna Soccer Club does not discriminate on the basis of race, color, religion, national
origin, sex, age or disability. Any financial aid offered is at the sole discretion of the Smyrna
Soccer Club committee.
Financial Aid Withdrawal and Eligibility Termination
Financial Aid will be withdrawn by the Smyrna Soccer Club in the event any information
provided in a financial aid application is found to be incorrect. If chosen for financial aid the
participant will be required to participate in all Smyrna Soccer Club activities and events.
Selected participants may also be required to volunteer 20 hours (per family) in club events to
assist where needed. By applying for financial aid applicants expressly consent and understand
that participants will be removed from financial aid for failure to participate in the previously
mentioned events or by providing false information in this application.
I have read, understand and consent to the terms and conditions of the Smyrna Soccer
Club financial aid policies.
Parent / Guardian Name:
Parent / Guardian Signature:
Date:
This box is for office use only:
% approved
Disapproved
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