BOLDER VALLEY HOCKEY FOUNDATION
Print Form
BOLDER VALLEY HOCKEY FOUNDATION Boulder Hockey Club Scholarship Committee 125 Superior Plaza Way, Superior, Colorado 80027 303-494-4777 tel 303-494-5180 fax www.boulderbison.com Parent Information First Name
Home Phone
Last Name
Cell Phone
Street Address City
ST
ZIP
Email Address Employer
Employer Phone
Player Information First Name
Birth Date
Last Name
Age
Street Address City
ST
ZIP
Hockey Participation (last season) Division & Team
BHC Seasons (not including the coming season)
Coach Name
Manager Name
Coach Phone
Manager Phone
Coach Email
Manager Email
I understand that I MUST submit the following information with this application in order to be considered for financial aid: Completed Scholarship Form Copy of player's most recent report card
Explanation of special personal circumstances Copy of most recent payroll/income check
Copy of most recent income tax return
I certify the information above is accurate and understand that the BVHF Scholarship Committee will verify all information. Deliberate misrepresentation will result in disqualification for financial assistance. I understand that each application is reviewed individually and scholarships are awarded based on funds avaiable, financial need, years in the BHC program, past scholarship funds received and special personal/family circumstances. Scholarships are awarded at the sole discretion of the BVHF Scholarship Committee. Submitting an appication does not guarantee financial aid. Further, I agree to procide any additional information requested by the BVHF Scholarship Committee and alert it of any changes in my/our finanacial condition.
Name of Parent or Legal Guardian: Signature of Parent of Legal Guardian:
Date:
BOLDER VALLEY HOCKEY FOUNDATION Boulder Hockey Club Scholarship Committee 125 Superior Plaza Way, Superior, Colorado 80027 303-494-4777 tel 303-494-5180 fax www.boulderbison.com Parent Information First Name
Home Phone
Last Name
Cell Phone
Street Address City
ST
ZIP
Email Address Employer
Employer Phone
Player Information First Name
Birth Date
Last Name
Age
Street Address City
ST
ZIP
Hockey Participation (last season) Division & Team
BHC Seasons (not including the coming season)
Coach Name
Manager Name
Coach Phone
Manager Phone
Coach Email
Manager Email
I understand that I MUST submit the following information with this application in order to be considered for financial aid: Completed Scholarship Form Copy of player's most recent report card
Explanation of special personal circumstances Copy of most recent payroll/income check
Copy of most recent income tax return
I certify the information above is accurate and understand that the BVHF Scholarship Committee will verify all information. Deliberate misrepresentation will result in disqualification for financial assistance. I understand that each application is reviewed individually and scholarships are awarded based on funds avaiable, financial need, years in the BHC program, past scholarship funds received and special personal/family circumstances. Scholarships are awarded at the sole discretion of the BVHF Scholarship Committee. Submitting an appication does not guarantee financial aid. Further, I agree to procide any additional information requested by the BVHF Scholarship Committee and alert it of any changes in my/our finanacial condition.
Name of Parent or Legal Guardian: Signature of Parent of Legal Guardian:
Date:
