Application for Financial Aid
Application for Financial Aid
ALL ANSWERS AND MATERIALS PROVIDED BELOW WILL BE KEPT IN STRICT CONFIDENCE AND WILL BE USED ONLY IN THE EVALUATION OF YOUR FAMILY’S ELIGIBILITY FOR FINANCIAL AID
ADMINISTRATIVE INFORMATION
Athlete First Name Athlete Last Name:
Address: City:
Zip: Parent Cell Phone #: Home Phone #:
Parent email Address: Player email Address:
Birth Date: // Player School______
INFORMATION NECESSARY TO EVALUATE FINANCIAL NEED
Total number of exemptions claimed on IRS Form 1040 or 1040 A for the tax years of 2015 ______and 2016______
Adjusted Gross Income disclosed on IRS Form 1040 or 1040 A for the tax years of 2015 ______and 2016______
Approximate liquid net worth (i.e., sum of all checking, savings, investment accounts) ______
Describe any material differences in the expected income of the family in 2017/18 as compared to the previous two years (e.g., loss of job, etc.)
REFERENCES AND INFORMATION NECESSARY TO EVALUATE ACADEMIC ELIGIBILITY
Please attach athlete’s end-of-year grade transcripts for the 2016 - 2017 school year
Please attach three references attesting to the character of the athlete.
Please sign and attach IRS Form 4506. This authorizes the Committee to verify the information submitted above with the IRS. Do NOT include the fee; just the signed form.
Please attach an essay of not longer than one page in length authored and written in hand by the athlete that addresses the following subject: “Why I am interested in playing Junior Olympic volleyball for the A5/GA5 Volleyball Club.”
PLEASE MAIL ALL RESPONSES IN A SEALED ENVELOPE TO THE ADDRESS BELOW OR LEAVE IN THE BOX IN THE SVC RECEPTION AREAFOR RECEIPT NOT LATER THAN 5 P.M., SUNDAY, OCTOBER 1st
Athlete Signature: ______
Parent/Guardian Signature: ______
Print Name of Parent/Guardian: ______
A5 VOLLEYBALL CLUB – ATTN LA O’Sullivan
11415 Old Roswell Rd., #200
Alpharetta, GA 30009