Athletics Scholarship Application

Required

DEXTER COMMUNITY SCHOOLS

2024-2025 Athletic Scholarship Application

Directions

Families must complete this form each season, for each athlete, before the season starts. Athletes who have not paid their participation fees, made arrangements to pay their fees, or been approved for a scholarship will not be permitted to participate in practices or competitions until those obligations are met.

Athletic Participation Fees are as follows:

High School: $250 per sport, flat fee
Middle School: $150 per sport, flat fee.
There is a family cap of $1,000 per year. (Athletic Family Max Reimbursement Request Form - must be completed by May 31st of each school year.)

Parent/Guardian and Contact Information

Name of Parent or Guardianrequired

First Name

Last Name

Parent/Guardian Email Addressrequired

Parent/Guardian Phonerequired

###-###-####

Home Addressrequired

Please include city and ZIP code.

Student Info

Student Namerequired

First Name

Last Name

Schoolrequired

Student Graderequired

Seasonrequired

Fall

Winter

Spring

Sportrequired

Scholarship Eligibility Information

This information is confidential and applicant privacy is strictly observed.

Parents may reduce free/reduced lunch status to streamline their athletic scholarship application but are not required to do so. Would you like to used free/reduced lunch status to verify eligibility for Athletic Scholarship funds? required

yes

Total gross MONTHLY household income from all sources including wages, public assistance, social security, etc.required

Number of persons living in the household with this athlete. required

If any special situation exists that make the household expenses greater than normal, please explain.

Certification

I certify that all of the above information is true and correct to the best of my knowledge and belief. I give the Dexter Community School District permission to verify any information necessary to validate this application.

ELECTRONIC SIGNATURErequired

Type your full legal name. For example, "John Jacob Doe"

Date Signedrequired

(Must contain a date in M/D/YYYY format)