Recreational Financial Aid Application Recreational Financial Aid Application Step 1 of 7 14% Personal InformationPlayer Name* First Last Birth Year*2016 (U5)2015 (U6)2014 (U7)2013 (U8)2012 (U9)2011 (U10)2010-2009 (U12)2008-2007 (U14)2006-2005 (U16)2004-2002 (U19)Age groups by birth year listed are for the 2020-21 season. Note that for U12, U14, U16, and U19, multiple birth years and age groups are combined for recreational play.Seasons played with BUSC* Parent/Guardian InfoParent/Guardian Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Parent Email* Employer Name*Employer Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employer Phone* Parent info 2Parent/Guardian Name 2 First Last Parent/Guardian Phone 2Parent/Guardian Email 2 All financial information provided below must reflect the combined earnings and/or reported income of all legal guardians of the scholarship applicant.Do you own or rent your home?*OwnRentJoint or Individual?*JointIndividualTax Form Required* Yes, I understand. Copy of most recent filing must be provided as part of this application. You may mail it to us or drop off at our office at 275 Rose Ave. Ste. 209, Pleasanton, CA 94566. Please indicate that you understand your financial aid application is incomplete until a tax document is provided.Tax Year*Federally reported Adjusted Gross Income:*From IRS Form 1040 line 35; 1040EZ line4; Telefile line 1 Total earnings in previous year:*You must report your total earnings regardless of whether you filed a tax return. This information may be on your W-2 form, 1099 form, or on IRS Form 1040-lines 7, 12, and 18, 1040A Line 7, or 10140 EZ line 1. Telefilers should use their W-2s. Additional ConsiderationsPlease provide any additional considerations or extenuating situations that should be part of the evaluation of this player’s application for a scholarship. I acknowledge that the following criteria and rules are applicable to players seeking to apply for a BUSC scholarship: Must be registered with BUSC and participating in a BUSC D1 or D3 program Must be a player in good standing with BUSC Must submit a scholarship application and provide the most recent Federal Income Tax filings or proof of earnings to the club BY THE APPLICATION DUE DATE. (see schedule above) Scholarship funds are applied as a credit by the club towards club fees only. Team fees, registration, or uniform costs are not eligible for scholarship. I am responsible for making all other payments to the team or club on the payment schedule established by the club. Should I fail to make the required payment, they player’s playing pass shall be revoked until required payments and/or arrears are made to the club. I declare that the information herein is true and correct. By typing or signing my name below, I attest that my statements within this application form are true and valid to the best of my knowledge and belief. Your application submission will not be complete until your tax forms are mailed in. Please mail your Tax forms are to: BUSC Scholarship 275 Rose Avenue, Ste. 209 , Pleasanton CA. 94566 Today's Date* Initials*
