South St. Paul Youth Hockey Association

South St. Paul Youth Hockey Association

Scholarship Program

The South St. Paul Youth Hockey Association (SSPYHA) provides scholarships to families of players who need financial assistance to play hockey in the South St. Paul youth hockeyprograms. This scholarship program is fundedby donations made to the SSPYHA, player fees paid,and by local organizations within the community. The amount of scholarships available will vary year to year based on the donations received by the associationand so the amounts we are able to award may vary.

Eligibility:

All applicationsfor scholarship assistance submitted to the SSPYHA will be considered for approval. The officers of the SSPYHA board of directors will review all scholarship applications. The eligibility review will take into account the following factors:

The financial information provided
The number of players in the family
Other mitigating financialfactors
Previous requests for scholarship
Previous fulfillment of volunteer hour obligations.

Conditions for Receiving a Scholarship:

Financial Contribution:

To increase the number of families that can be provided assistance, SSPYHA requests that each family make a minimum nominal payment of $200 for each player to SSPYHA and pay any USA hockey participation fees.

Volunteer hours:

The family will be required to volunteer at least two (2) hours per $50 of scholarship assistance provided. This will be on top of the volunteer hours that all parents are required to work within the association.

Participation:

Scholarship recipients are expected to attend 90% of all team functions. Excessive absences can result in loss of scholarship and will affect future requests.

Application process:

Fill out the attached application and mail to the association to the following address:

SSPYHA

141 E. 6th Street

South St Paul, MN 55075

Attn: Michael Ahern

NOTE: No scholarship funds will be awarded without the submission of a scholarship form and a completed registration.

Notification of Scholarship:

SSPYHA will review scholarship applications starting in August. Those players/families receiving scholarships will be notified approximately one month before the season begins. In the event that funds are unavailable or a request is denied for other reasons, the association will work with the family to develop a payment plan for the balance of the fees. Questions regarding the program can be directed to the association treasurervia the website.

(first)(last)(birthdate)(level)

Player Name:______

Address:______

City:______Zip:______Home Phone:______

Mother’s Name: ______Father’s Name:______

Household Annual Income:______Number of persons in household: ______

Does your family qualify for the free/reduced lunch program? Y / N

Does your family qualify for any other aid? Y / N Explain Program(s): ______

______

School Child Attends: ______

Amount of scholarship money requested: ______

Provide a brief explanation for the need for scholarship:

Have any of the playersreceived scholarship assistance in the past?Y / NHow many years?______

Have any children not participating in the program at this time received assistance in the past? Y / N

Person(s)that SSPYHA should contact to schedule volunteer hours:

Name:______

Email (preferred):______

Phone #:______

CONSENT TO EXCHANGE INFORMATION

I understand that additional information may be required to adequately serve myself/my child, to coordinate services with other agencies, and to verify eligibility for scholarships. By signing this form, I am allowing agencies to exchange certain information so it will be easier for them to provide or coordinate this scholarship. I certify that all of the information I have supplied is true and correct. I permit South St. Paul Youth Hockey Association volunteers to verify the information on this application.

CONDITIONS FOR RECEIVING SCHOLARSHIP

I understand that my child(ren)’s participation in this program requires a commitment to attend a minimum of 90% of the scheduled practices and games andextra volunteer hours to be performed by the parent(s) of the child(ren). If we are unable to attend the required participation level required or perform volunteer hours needed, I understand that we will be removed from the program and may be disqualified from any future participation or scholarships from the association.

REQUEST FOR SCHOLARSHIP

I am currently enrolled in a public assistance program mentioned above or have experienced a sudden financial hardship in the family. I request a scholarship from the South St. Paul Youth Hockey Association (SSPYHA) and give my permission for SSPYHA to verify the above information:

Parent/Guardian Signature: ______Date: ______

______(Printed Name of Parent or Guardian)