Information provided by applicant will be shared with members of the NFC financial assistance committee. NFC will attempt to prevent the release of the personal information provided in this application; however, applicant and his/her parents agree to release and hold NFC and its individual board and committee members harmless from dissemination of any information provided herein. NFC reserves the right to deny financial assistance to anyone for any other reason, including those who falsify records or submit incorrect information. Applying for financial aid does not guarantee assistance will be granted.

Financial Aid Application

Your Information

Your First Name *

Your Last Name *

Your Email *

Your Phone Number *

Address

Your Address

City

State

Country

Postal code

Player Information

Player First Name *

Player Last Name *

Player Date of birth *

What is your Relation to the Player? *

Financial Information

What was your (and your partner's) income from work (including self-employment) in last year? (This is the amount the parent(s) earned in wages, salaries and allocated tips, plus any business or farm income. Enter the total from box 1 on all of your most recent W2s plus any self employment earnings (see line 1 on IRS Form 1040, lines 3+6 on Schedule 1, and Box 14 (Code A) on Schedule K-1).) *

What was the total household adjusted gross income on your most recent tax return? (Adjusted gross income can be found on line 11 on IRS Form 1040. If the parent(s) did not file taxes, please enter any taxable income such as earnings, etc.) *

How much did you (and your partner) receive from other income sources in the most recent tax year? (Please include income such as Social Security, SSI, child support received, disability or housing benefits, and contributions to 401(k) or other retirement programs.) *

Upload a copy of your most recent tax return here: *

Does your family receive benefits from the Temporary Assistance for Needy Families (TANF) program? *

Yes

Does your family receive benefits from the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) program? *

Yes

Does your family receive benefits from the National School Lunch Program (NSLP) to receive Free or Reduced Price School Lunch *

Yes

Provide any additional information you can about your family situation related to the need for financial assistance. (This could include recent job loss, hardships, etc.) *

By submitting this form you understand that NFC has the right to request further information to verify financial need to determine qualification for scholarship assistance, including requesting a copy of your most current tax return, W-2, pay stub, or other verification documents. Furthermore, by submitting this form you certify that the above information is true and that all household income has been reported to the best of your knowledge. *

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