The Richardson Foundation - Give our Athletes a Legacy (GOAL) Program - Ohio Galaxies Scholarship Application

GOAL is a funding outreach program which provides local economically disadvantaged youths or youths in hardship situations an opportunity to participate in sports and be part of a team they otherwise couldn't afford.

Parent/Guardian Information
Name Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Email
Employment Information:

This is the description of your section break.
Occupation:
Employer:
Employer's Address Employer's Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Employer's Phone Employer's Phone - ### - ### ####
Employer's Email
Skills/Trades
Please list your and/or other family members special skills/trades:
Player(s) Information
How many players are you requesting assistance?
Player #1 Player #1 First Last
Player #1 Team
Player #1 Requested Fee Amount $ Dollars . Cents
Player #2 Player #2 First Last
Player #2 Team
Player #2 Requested Fee Amount $ Dollars . Cents
Player #3 Player #3 First Last
Player #3 Team
Player #3 Requested Fee Amount $ Dollars . Cents
Player #4 Player #4 First Last
Player #4 Team
Player #4 Requested Fee Amount $ Dollars . Cents
Statement of Need

The Richardson Foundation respects your privacy and will not share the information
Briefly state the justificaation of need for the requested fees.
Reference

Please provide personal reference contact information
Name Name First Last
Phone Phone - ### - ### ####
Email
Disclaimer and Signature

This is the description of your section break.
I certify that my answers are true and complete to the best of my knowledge. By signing this application, you are acknowledging that you are requesting financial assistance from The Richardson Foundation and if approved you will abide the terms and guidelines of the GOAL Program.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.

The Richardson Foundation - Give our Athletes a Legacy (GOAL) Program - Ohio Galaxies Scholarship Application

The Richardson Foundation - Give our Athletes a Legacy (GOAL) Program - Ohio Galaxies Scholarship Application

Parent/Guardian Information

Employment Information:

Skills/Trades

Player(s) Information

Statement of Need

Reference

Disclaimer and Signature