Scholarship Application Form All information is confidential and will only be viewed by those necessary to making a decision. Player Name: ___________________________________________________________ Parent/Guardian Name: ___________________________________________________________ Address: __________________________________________________________ ___________________________________________________________ Phone: ____________________ Email: _____________________________ You must first apply for family assistance through Tualatin Hills Parks & Recreation. Please attach the acceptance or denial letter from THPRD to your application. Amount requested: _______________________ Reason for Request: ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ Families receiving financial assistance from MHLL will be asked to volunteer up to 10 hours of time between 2/1/2016 & 2/28/2017. Signature of Parent: ____________________________________ For Murrayhill Little League Board Use Only Action: _____ Payment Plan _____ Scholarship $_______ _________________________ Date ________________________________________________ ____________________ Player Agent’s Signature Date ________________________________________________ ____________________ Treasurer’s Signature Date Murrayhill Little League 14845 SW Murray Scholls Dr Suite 101 PMB 204 Beaverton OR 97007 ◆ http://www.murrayhilllittleleague.com/ MHLL SCHOLARSHIP POLICY Murrayhill Little League (MHLL) offers scholarships each year. Applicants may send a confidential written request for the player agent and treasurer to review. You must first apply for family assistance through Tualatin Hills Parks & Recreation. Please mail or deliver completed THPRD applications to THPRD, not to MHLL. All information is confidential and will only be viewed by those necessary to making a decision. Link to THPRD Family Assistance: http://www.thprd.org/activities/familyassistance.cfm THPRD will either accept or deny your application for scholarship. If they accept, they will send MHLL a check. If they deny your application and/or you need additional assistance, please fill out the form below. Please email completed MHLL Scholarship forms to the MHLL Player Agent, [email protected]. MHLL applications will be reviewed as soon as possible and you will be contacted regarding the League’s final decision. These scholarships are reserved for families that are unemployed or experiencing other serious financial hardship. In addition, partial scholarships will be offered to those families requiring less assistance. If you only need a partial scholarship, please indicate the amount needed on the form. MHLL is a non-profit organization and each year is required to balance our funds in an effort to cover the many expenses incurred as a result of providing your child with a quality experience. However, it is also a primary goal for our organization to ensure that every child who wants to play is able to and not hindered by financial difficulties. Please do not hesitate to contact MHLL if you have any questions. Staci Quimby Player Agent, Murrayhill Little League [email protected]. Murrayhill Little League is a not for profit organization. All operations comply with the criteria set forth by the Internal Revenue Service for recognized 501 (c)(3) tax-exempt organizations.
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