Select Player Scholarship Application

---

For more information, please contact the Executive Director, Michelle King, at vysoadmin@gmail.com.

---

The Victoria Youth Soccer Organization (VYSO) provides a limited number of scholarships to families in need so that all children can have the opportunity to play soccer.

To be eligible, the family must demonstrate a need for the scholarship, such as by having low income, receiving assistance through a government agency, or by having recently experienced a financial hardship.

There is not a set amount for each scholarship. The scholarship funds available will be distributed to all approved applicants based on need.

---

Application Information

A parent or guardian must fill out and submit the application below. Documents must be uploaded to verify household income or assistance received.

The deadline to apply for a scholarship for the Fall 2023–Spring 2024 Select Year is Saturday, June 10, 2023.

Applicants will be notified June 14, 2023. If the applicant is not approved for the scholarship, he/she will be allowed to set up an extended payment plan for paying the registration fee.

---

SELECT PLAYER SCHOLARSHIP APPLICATION

---

Your Information

Name *

Email Address *

Phone *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

The Player's Information

Player's Name *

Player's Date of Birth *

Player's Gender *

Your Household

How many adults (including you) live in your household? *

How many children live in your household? *

What is the total annual income for your household? *

Do you receive assistance?

Do you receive assistance from any of these programs or government agencies? Check the box for each program you receive assistance from. You will need up to upload a document showing the assistance you receive. *

Free or Reduced-Price School MealsTemporary Assistance for Needy Families (TANF)Supplemental Nutrition Assistance Program (SNAP)Medicaid or MedicateSocial Security Benefits or Supplemental Security Income (or SSI)Child is in Foster CareOther assistance programWe do not receive assistance from any program or government agency.Select all that apply

Reason for the Scholarship

Please explain why you are requesting a scholarship for this player. *

Upload Document(s)

Upload verification of your income or assistance received from program or government agency. *

Choose FileNo file chosenDelete uploaded file

You can upload your most recent federal tax return (example: form 1040) or documentation of the assistance you receive.

Release of Information

Consent to Release and Share Information *

I understand the information included in this application, and the documents uploaded, will be reviewed by the VYSO Executive Director and may be shared with the VYSO Board of Directors as necessary for reviewing/approving the scholarship applications.

 

I understand this information will not be shared with any other individuals or organizations.

 

I understand that all documents will be permanently deleted from VYSO records after the scholarship applications are reviewed.

 

I understand that VYSO does not need to see the social security number for any adult or child. I understand that I can cover up or block off any social security numbers on any documents that I upload.

Submit Application