ACADEMY SCHOLARSHIP Players Name * First Name Last Name Players Gender * Male Female Date of Birth * MM DD YYYY Parent or Guardian Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Cell Phone (###) ### #### Email * Required for club announcements Years of Celtic Play School Attending Last Team Affiliation If Applicable Team Affiliation Coach If Applicable Household Gross Income * $ Number of people in household * Did you apply for a scholarship last year? * Yes No Did you receive a scholarship last year? * Yes No How many players do you have playing NYSA soccer this season? List the areas they are in. By checking the box below, you acknowledge, all information included in this application is complete and accurate * Yes No Todays Date * MM DD YYYY Note Oklahoma Celtic needs to have a proof of income to be able to award scholarships. A recent TAX FORM is required as proof of income. These forms need to be brought to the Celtic office or emailed to shana@oklahomaceltic.com Thank you!
