Scholarship Application

GHA shall award full and/or partial scholarships for seasonal ice time fees on an annual basis for players and families that apply for scholarship or assistance and demonstrate financial and/or hardship needs. Assistance may also include the loan or purchase of hockey equipment for a player’s needs on a seasonal basis. If a request for equipment usage is granted, the equipment must be signed for and returned at the end of the season.

Please complete the following application:

Players Name*

Parent or Guardian Name*

Address*

Phone Number*

Email*

Household size* Please list the number of adults and children supported by the household income

Annual Household Income* Please select the income range that best fits your household

$0-$25,000

$25,000-$50,000

$50,000-$75,000

$75,000-$100,000

$100,000+

Employment Status of Parent/Guardian 1* Please select the employment status of Parent/Guardian 1

Employment Status of Parent/Guardian 2 Please select the employment status of Parent/Guardian 1

Are there any special financial circumstances that should be considered?*

Which GHA Program are you applying for?* Please select the program your player is interested in participating in.

Will you need assistance with rental equipment for the season?* Please let us know what equipment you may need for the season.

Amount of assitance requested* Please let us know if you are requesting a full scholarship, a specific amount that would help, or if any amount of assistance will help.

Will you be able to pay any portion of the registration fees on a payment plan?*

Has GHA been of assistance with this player in prior Seasons?*

Please give a brief explaination as to why you're unable to pay full ice fees and/or need assistance*

Is your player committed to attending all practices and games?*

Can you committ to additional volunteer opportunities beyond the 10 required hours?*

Acknowledge that the first two pages of your most current tax return are required.* A member of the Scholarship Committee will be in touch to directly collect this sensitive information. Confidentiality is our utmost priority.

Digital Signature* By signing my name digitally, I am confirming that the information provided is true and accurate. I understand all information provided in this application will be kept strictly confidential and reviewed only by the Glacier Hockey Association Scholarship Committee. Financial and personal details will not be shared outside of the review process and will be used solely for the purpose of determining scholarship eligibility.

6U/8U Mites

6U-8U House

Learn to Play

10U Squirt

10U House

12U Peewee

10U-12U+ Girls

14U Bantam

ALL

19U Girls

Scholarship Application

Confirmation