Sudbury Youth Basketball Scholarship Application

Overview

Sudbury Youth Basketball (SYB) provides scholarships for registration fees to players, who without financial assistance would be unable to participate in SYB. In certain cases, the scholarship may also provide financial assistance for basic equipment required to participate in SYB. 

SYB is a 501(c)(3) non-profit organization with limited funding available for scholarships. No guarantee of assistance is implied by this application. If the number of scholarship applications submitted and approved exceeds the amount available, the scholarships will be awarded by a lottery system. SYB does not discriminate based on race, color, national origin, sex or disability in its program and activities. 

Eligibility 

• Athletes must be of eligible age to participate in SYB
• Parents/Guardians commit that the athlete will attend a minimum of 75% of all scheduled practices and games for town teams or league and 90% of all scheduled practices and games for travel teams 
• The maximum amount awarded per recipient family is $599.00 per calendar year. Per IRS guidelines, SYB is required to issue a 1099 form to any individual or family that has received $600.00 or more in funds or compensation in a calendar year. 

Qualifications

Please provide information required to help SYB determine qualifications. Scholarship consideration will be given to families that meet the following criteria: 

• Complete the application process and read and sign the Terms and Conditions statement. Incomplete applications will automatically be denied. 
• Provide written recommendation by school representative, social worker, youth community center worker or other social service representative – or -
• Receive governmental assistance from any of the following programs such as: Medicaid, SSI, Supplemental Nutrition Assistance Program (SNAP), Foster Care, WIC, etc. and can provide supporting documentation of participation – or - 
• Provide a written statement of immediate financial hardship explaining the current situation. SYB recognizes that a family may not be receiving formal assistance from the programs mentioned above, yet financial assistance may still be needed to participate in SYB. In these instances, the SYB scholarship board will consider the financial hardship statement to determine scholarship eligibility. Please provide any supporting documentation that may support the facts in your financial hardship statement.

Procedure 

Scholarship requests must be received by October 8th to be considered. You should register your child when registration opens but do not pay.  Send an email to sudburymabasketball@gmail.com that you are requesting a scholarship and then a parent, guardian, or head of household must complete the application, with the requested information provided. All items on the Scholarship Terms and Conditions must be initialed and the form must be signed and dated. Incomplete or late applications will be denied.  Approval of a registration scholarship does not register the participant in the activity. Please send the application and requested information to SYB, PO Box 887, Sudbury MA 01776.  Please contact sudburymabasketball@gmail.com if you have any questions.

Sudbury Youth Basketball Scholarship Application Terms and Conditions 

“I”, “me” and “my” refer to the adult scholarship applicant.

1. By signing this form, I certify that the information contained in this scholarship packet is true and correct to the best of my knowledge. _____
2. By signing this form, I agree to be bound by the responsibilities and expectations set forth in this application if I receive a scholarship. _____
3. I understand that members of the SYB Board of Directors consider each scholarship application on a case-by-case basis. _____
4. I understand that no guarantee of assistance is implied by this application and scholarships are awarded if funds are available. _____
5. I understand that unless I am awarded basic equipment as part of my scholarship, I am responsible for any equipment and uniforms required for my child’s participation. _____
6. I understand that scholarship money will not be paid to the individual recipient, nor will any money be refunded to the individual recipient. _____
7. I understand that if any information provided during the scholarship application is deemed inaccurate, SYB may immediately terminate my child’s privilege to benefit from the scholarship program, and in the case any information was intentionally false, I will repay to SYB the full value of any scholarship awarded. _____
8. I understand it is my responsibility to ensure my child(-ren) attend 75% of all scheduled practices and games for intown teams/league and 90% of all scheduled practices and games for travel teams. _____
9. This application is considered private and will not be shared with anyone other than the scholarship review board. ______

Printed Name of Adult Applicant: _____________________________________________

Signature of Adult Applicant: ________________________________________________ 

Name of Scholarship Athlete: _______________________________________________

Date: ___________________________________________________________________

Sudbury Youth Basketball Scholarship Application

ATHLETE INFORMATION 

Athlete’s Name: _______________________________      Birth date: _______________________________

Street Address: ______________________  City: _______________  State: _____________ Zip: ________________

School Athlete Attends: _______________     Grade: _______________________________

Athlete lives with: ( ) Both Parents ( ) Mother ( ) Father ( ) Other 

PARENT(S) / GUARDIAN INFORMATION

Father/Guardian Name: _______________________________

Occupation: _______________________________

Employer Name: _____________________________ Employer Address: _______________________________

Cell/Home Phone: _______________________________  E-mail: _______________________________

Mother/Guardian Name: __________________________

Occupation: _______________________________

Employer Name: ______________________________ Employer Address: ______________________________

Cell/Home Phone: _______________________________ E-mail: _______________________________

Do you currently receive state or federal financial assistance? ( ) Yes ( ) No 

If yes, what type? _____________

If you receive state or federal financial assistance, is this your sole source of income? ( ) Yes ( ) No 

SCHOLARSHIP INFORMATION 

Amount of scholarship requested [Cannot exceed $599 per family]: _________________

Do you also request additional assistance to purchase basic equipment needed for this sport season?  ( ) Yes ( ) No 

PREVIOUS PARTICIPATION 

Has the child played organized basketball? (  ) yes   (  ) no 

If yes, what team/organization and number of years? _____________________________________________________

Has this athlete ever received an SYB scholarship before? ( ) Yes ( ) No  If yes: Which Year(s): _______   Amount $ _____

Please indicate supporting documentation being provided: 

• Proof of receipt of state or federal financial assistance 
• Letter from school, social workers, youth community center workers, or other social services representatives 
• Written Personal Statement of Immediate Financial Hardship 
• Other (explain in detail):

Printed Name of Adult Applicant: _____________________________________________

Signature of Adult Applicant: ________________________________________________ 

Name of Scholarship Athlete: _______________________________________________

Date: ___________________________________________________________________