815-439-4MAC (4622)

Stay-N-The Game 
Sports Scholarship Application

Sport Athlete Name Parent/Guardian Name Address City Zip Code Phone E-mail Date Of Birth Grade School I agree to the Terms & Conditions and Privacy Policy Submit

Attachments: 

• Request from Parent/Guardian
• Documentation showing receipt of assistance such as food Stamps, Medicaid,       SSI, Foster Care, etc.
• Written recommendation by school representatives, social workers, youth          community center workers, or other social services representatives.
• Documentation demonstrating an immediate financial hardship