Instructions for Completing
Application for Travel Soccer Financial Aid 2012-2013
Arlington Soccer Association (ASA)
Applications should be returned as quickly as possibly
and must be postmarked by midnight June 29, 2012
to be eligible for financial aid.
The Arlington Soccer Association (ASA) will offer financial aid for ASA Travel Soccer Fees, to the extent possible, to
financially challenged youth and their families. If you are unable to afford the full cost of the ASA Travel Soccer
Fees, please complete the confidential application form below and return it, along with the required documentation.
Explanation of Financial Aid
Financial aid is only available to cover ASA’s travel soccer player club fee and one uniform kit. Financial Aid provided
by the club DOES NOT cover team fees and expenses (i.e. tournament fees, coach/player travel expenses or other
expenses budgeted by the team), optional uniform pieces and/or camps/clinics run by the club. Please contact your
Child’s team manager for an estimate of specific TEAM FEES (expenses). The uniform kit purchased by ASA
belongs to ASA and MUST be returned to the club when the player leaves the team.
Typically players on the free or reduced lunch program qualify for financial aid assistance.
The player club fee for the year is $1,530. Financial aid does not cover the entire fee. Players who receive the most
financial aid will still be responsible for a minimum of $400 of the player club fee along with any Team fees.
Instructions: To apply for a reduction of your 2012-2013 travel soccer club fees, you must submit a complete
Financial Aid Application, consisting of:
1) A completed and signed Application for Travel Soccer Financial Aid, and
2) A copy of one of the supporting documents listed in the application
To be considered, all required documentation MUST be received prior to the established Financial Aid deadline.
Financial Aid Applications that are submitted after the posted deadline will be considered in the order in which they
are received and on the basis of remaining financial aid funds.
Financial Aid Deadlines:
1. Applications must be postmarked by midnight Friday, June 29th to be eligible for financial aid.
2. Award/Acceptance letters will be mailed to Financial Aid recipients on July 6th.
3. The signed Acceptance letter and initial payment must be returned by July 16th or the player’s roster spot
and Financial Aid award may be awarded to another player.
For further information, contact Jennifer Kosko at [email protected] or at 703-244-7280.
ASA Travel Soccer Financial Aid Reminders
Please SAVE and refer to during the year

Applications should be returned as quickly as possible and must be postmarked by midnight Friday, June
29th to be eligible for financial aid. Financial Aid is awarded on a first-come, first-serve basis. Do not wait until
after travel soccer tryouts to submit a financial aid application.

I understand that Financial Aid is not granted until this request is processed AND the Financial Aid
commitment letter is signed and returned.

After ASA notifies me of the amount of aid I will receive, I will need to contact my child’s coach or team
manager to let them know if my child will or will not play.

Financial aid is only available to cover ASA’s travel soccer club fee and one uniform kit*.
*Uniform Kit includes two jerseys, two shorts and two socks. And additional, lost or stolen uniform items will
be the responsibility of the player. The uniform kit purchased by ASA belongs to ASA and MUST be
returned to the club when the player leaves the team.

Financial Aid provided by the club DOES NOT cover optional uniform pieces, team fees and expenses (i.e.
tournament fees, coach/player travel expenses or other expenses budgeted by the team) and/or
camps/clinics run by the club. Please contact your Child’s team manager for an estimate of specific TEAM
FEES (expenses).

If the financial aid applicant was a previous Arlington Travel Soccer (ATS) member, then the applicant must
have been a member in “good standing” in order to be considered for financial aid. The term “good standing”
applies to previous members that had no outstanding unpaid debts to ATS or no disciplinary issues.

It is the expectation of ASA that recipients of financial aid demonstrate dedication through consistent
attendance at all team practices, games, team duties and all other regular team activities. Failure to adhere to
these guidelines can result in the forfeiture of the financial aid award

It is also the expectation of ASA that recipients of financial aid agree to actively participate in future team and
club fundraisers and contribute volunteer time to your child’s team.

Approval for ATS financial aid does not guarantee a right to continued participation. Applicants must reapply each season.
FAMIS
FAMIS stands for Family Access to Medical Insurance
Security. FAMIS is Virginia's program that helps families
provide health insurance to their children. For Further
Information please visit their website or call the number
listed to the right.
Application for Travel Soccer
Date Rec’d____________________
Financial Aid 2012-2013
FA Awarded: __________________
Arlington Soccer Association (ASA)
Notification to Team: _____________
Applications, and supporting documentation, should be returned as quickly
than a postmarked date of Friday, June 29th.
to be eligible for financial aid.
Documentation Received _________
Acceptance letter sent: ___________
Confirming letter rec’d ____________
as possible and not later
Player/Parent Information
PLEASE PRINT
COMPLETE BOTH SIDES OF THIS APPLICATION
Player Name:
(Player Last Name)
Age Group
i.e. U16B
(Player First Name)
Travel Team Name:
(if known)
i.e. Impact White
Parent/ Guardian
Name(s):
Street Address
City/State/Zip
Email Address(s):
Phone:
Home:
Household Size:
# of
Adults:
Cell:
# of Children
(under 18):
The following documents are acceptable as verification of your household income.
Please indicate with an “X” which one you are providing as part of your application:
Current Proof of Eligibility for Free or Reduced Lunch Program
Current Proof of Eligibility for Woman Infant and Children Program (WIC)
Current Proof of Eligibility for Temporary Assistance to Needy Families Program (TANF)
Current Proof of Eligibility for Supplemental Nutrition Assistance Program (SNAP) (formerly food stamps)
2011 Federal Tax 1040 forms (first page only) with W-2s and 1099s filed by all members of the household
2011 Virginia State 76X series tax form (first page only) with W2s and 1099s filed by all members of the player’s
household
COMMENTS: Please feel free to write in the space below or on the back of this page any additional information that may assist Arlington
Travel Soccer in evaluating your financial need:
Read and initial next to each paragraph below. Then sign and date below.
I certify that all the information on this application is true and correct, that all required financial documents are attached, and
that all income is reported.
I understand that after review of my application, the Financial Aid Committee may determine that I am responsible for a
portion or possibly full payment of the 2012-2013 annual player club fee for travel soccer. After ASA notifies me of the
amount of aid I will receive, I will need to contact my child’s coach or team manager to let them know if my child will
or will not play.
I understand that this scholarship is for Arlington Travel Soccer Club Fees and ONE Uniform Kit* ONLY. Financial Aid
provided by the club DOES NOT cover optional uniform pieces, team fees and expenses (i.e. tournament fees,
coach/player travel expenses or other expenses budgeted by the team) and/or camps/clinics run by the club. Each
player is responsible for their share of Team Expenses (“Team Fee”) and their own travel expenses. Please
contact your Child’s team manager for an estimate of specific TEAM FEES (expenses).
*Uniform Kit includes two jerseys, two shorts and two socks. And additional, lost or stolen uniform items will be the
responsibility of the player. The uniform kit purchased by ASA belongs to ASA and MUST be returned to the
club when the player leaves the team.
I understand that Financial Aid is not granted until this request is processed AND the Financial Aid commitment letter is
signed and returned.
If the financial aid applicant was a previous Arlington Travel Soccer (ATS) member, then the applicant must have been a
member in “good standing” in order to be considered for financial aid. The term “good standing” applies to previous
members that had no outstanding unpaid debts to ATS or no disciplinary issues.
Conditions of Financial Assistance
Approval for ATS financial aid does not guarantee a right to continued participation. Applicants must re-apply each season. It is the
expectation of ASA that recipients of financial aid demonstrate dedication through consistent attendance at team practices and games. Failure
to adhere to these guidelines can result in the forfeiture of the financial aid award.
Signed: _________________________________________________ Date: ______________________
If awarded financial aid please send my acceptance letter in ________English or _______Spanish (check one).
Return this form As Quickly as Possible and no later than Friday, June 29th with
SUPPORTING DOCUMENTATION to:
ASA Travel Soccer Financial Aid * c/o Jennifer Kosko * 5604 De Soto Street * Burke, VA 22015