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Page 1: Junior Golf Financial Aid Information04.20.2012cdn.cybergolf.com/images/1305/junior-golf-financial-aid... · Junior Golf Financial Aid Information Thank you for your inquiry regarding

Junior Golf Financial Aid Information

Thank you for your inquiry regarding our youth scholarship program for Everett Junior Golfers. The City of Everett Parks and Recreation Department believes that access to a full range of recreational opportunities is essential to every child’s well being. To help ensure that access, we offer scholarships to financially needy youth through the Joe Richer Golf Club. Enclosed is a scholarship form. Please take a moment and fill it out. To be eligible for a scholarship you must meet the family income guidelines as listed on the form. You are required to submit proof of income. This will only be used for determining eligibility. All financial aid requests will be kept confidential, but we may contact you for more information. Please return your application form to: Rex Fullerton-General Manager Legion Memorial Golf Course Walter Hall Golf Course Junior Golf Scholarship Program 144 W. Marine View Dr. Everett, WA 98201 If you have any questions, feel free to call us at 425-259-4653. Rex Fullerton, PGA General Manager

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General Policies

Scholarships can only be awarded to children 18 years of age and under. Applicant must qualify under the Family Income Guidelines listed in this brochure. Financial Aid applies only to Everett Parks Department sponsored Junior Golf Programs and the Joe Richer Junior Golf Club. Scholarship/Fee reduction privileges expire December 31st each year. Recipient may apply for more funding again in January. The Foundation’s ability to give financial aid is solely dependent on charitable contributions; therefore we cannot guarantee that all eligible applicants will be funded. Based on available funds, applicants will be funded on a first-come, first-serviced basis. Incomplete applications will not be considered. Some activities may be exempt from funding, at the discretion of the Everett Parks Department.

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How to Apply:

Steps to apply for a Joe Richer Junior Golf Scholarship

1) Enclose proof of income from one of the following sources*: a. Copy of your child’s current free and reduced lunch letter. b. A letter from DSHS explaining current assistance status. c. Previous years income tax return.

2) Complete the application on the reverse side of this brochure, sign your name and return the application to:

Rex Fullerton, GM Legion Memorial Golf Course Junior Golf Scholarship Program 144 W. Marine View Dr. Everett WA 98201 Telephone (425) 259-4653 (For confidential assistance with the application). The information provided on the application form is confidential and will be used only to determine eligibility. We may contact you for more information. Approval of a scholarship does not automatically register the person into the program. The department’s Junior Golf registration forms must still be completed. Applicants will not be allowed to register until a determination has been made of their eligibility. Please allow one week for scholarship approval.

Family Income of Need Scale

Family Size Gross Family

Yearly Income 1 $20,147 2 $27,214 3 $34,281 4 $41,348 5 $48,415 6 $55,482 7 $62,549 8 $69,616

Updated 7/27/11 Based upon July 1, 2011 – June 30, 2012 DSHS Needs Standards for Cash Assistance and school district guidelines for free/reduced lunches.

**If you cannot provide one of the three documents listed to verify eligibility, please the General Manager at Legion Memorial Golf Course.**

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Please provide all requested information.

Name (Name of head of household requesting funds)

Address City Zip Employer Home Phone Work Phone Total Household monthly gross income $

APPLICATIONS CANNOT BE PROCESSED WITHOUT PROOF OF INCOME. (Monthly household income includes all income of all household members’ wages, salary,

social security, public assistance, childcare assistance, unemployment, insurance, child/spouse support, pension/retirement, and all other sources of income.)

Total family members:

Name of child

Requesting Scholarship ___ Age:

Please complete one application for each child requesting a scholarship.

Program: Joe Richer Club $30.00 Joe Richer Green Fee $10.00

Junior Golf Pass $125.00 Event Day Hot Dog Meal $4.50

I certify that all of the above information is true and correct and that all income is reported. I understand that this information is being given for the receipt of financial aid; and Everett Parks and Recreation staff may verify the information on the application. I also understand that deliberate misrepresentation of the information may subject me to prosecution under the

applicable State and Federal laws.

Signature Date Approved/Denied Date

Joe Richer Junior Golf Club


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