Student-Athlete Sports Subsidy

STUDENT & SCHOOL INFORMATION

Student Name(Required)

First Last

Grade(Required)

Gender(Required)

For what sport(s) is the student applying for funding?(Required)

High School / École(Required)

School Address / Adresse(Required)

Address City / Ville Province / Province Postal Code / Code Postal

REQUESTOR INFORMATION & ENDORSEMENT REQUIRED

The Requestor is the individual submitting this application (if different than the Endorser), who can be contacted for any questions. The Endorser acts as an objective third party who is familiar with the student and their family. They are also in a position to identify the financial barriers restricting the student’s participation in high school sport and is fully aware of the uses of the funds charged to the student. This is outlined by the parent or guardian on Page 1 of the application form.

Name of Requestor (if different than the Endorser)

First Last

Requestor Email (if different than the Endorser)

The Endorser MUST be one of the following (check one):(Required)

Name of Endorser(Required)

First Last

Endorser Email(Required)

SPORT PARTICIPANT FEE

PLEASE NOTE: Only costs related to regular league games/local meets are ELIGIBLE for this funding.

If any, what is the amount of the General Athletic Fee ($)?(Required)

General Athletic Fee - A fee charged to any student who wishes to participate in any interschool sport.

What is the amount of the Sport Specific Fee ($)?(Required)

Sport Specific Fee - An additional fee that a student must pay to participate in this specific sport.

Total Amount Requested ($):

Sum of the General Athletic Fee & Sport Specific Fee

Upload Completed Application Form:(Required)

Max. file size: 2 GB.

This form will be reviewed to determine eligibility. All fields must be completed correctly and form must be signed by the following: Student, Parent, and Endorser