Renewal Applications

Renewal scholarship Form

Applicant Information
Name*
First Middle Last Suffix
Date of Birth*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Social Security*
Phone*
Email*
School Transcript*
Accepted file types: jpg, pdf, Max. file size: 32 MB.
Please upload a copy of the applicant's most recent school transcript.
Personal Statement*
Max. file size: 32 MB.
Please upload a copy of the applicant's personal statement.
Parent or Guardian Info
Name*
First Middle Last Suffix
Address
Same as previous

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Number of family members living at home dependent upon the injured or deceased parent?*
Last year's tax return*
Max. file size: 32 MB.
Please upload a copy of the parent or guardian's most recent tax return.
Injured or Deceased Parent
Name*
First Middle Last Suffix
Social Security Number*
Date of Injury*
Date of Birth*
Nature and extent of injury*
Name of the attorney representing injured parent (if applicable)
First Middle Last Suffix
Is injured parent currently working?*
- Yes
- No
Signature*

Injured Parent/Substitute Party: I hereby authorize ManAdvantage Inc. to obtain and review all documents on file regarding myself or deceased parent.
Is the other parent employed?*
- Yes
- No
Hockey Organization Information
Name of Preferred Hockey Organization*
Hockey Organization contact's Full Name*
First Last
Hockey Organization Contact's Phone Number*
Hockey Organziation Contact's Email Address*
Total Cost of League Fees*
Are there any equipment needs?*
- Yes, I will need equipment
- No, I do not need equipment
Hidden
Total Cost of All Necessary Equipment*
Other Scholarship/Grant Information
Other types of scholarships or finacial aid you have applied for:*
If none, then type None
Will you be receiving any other scholarship or financial aid including scholarship or grants?*
- Yes, I will be
- No, I will not be
If so, identify and state the amount for each:
Other Circumstances which you feel the ManAdvantage Scholarship Committee should know in reviewing the scholarship request?
Signature of Applicant*
Date Application is completed*
*
I hereby authorize ManAdvantage, Inc. to obtain and review all documentation on file regarding myself and deceased/disabled parent.

ManAdvantage’s mission is to provide children affected by the death or disability of a parent with the opportunity to continue or begin their involvement in the sport of hockey, through the use of corporate sponsors and fundraising.

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Privacy Policy
501 (c)(3) Determination Letter
Conflict of Interest Policy
ManAdvantage By-Laws
Articles of Incorporation

Renewal Applications

Renewal scholarship Form

Applicant Information

Parent or Guardian Info

Injured or Deceased Parent

Hockey Organization Information

Other Scholarship/Grant Information