New Applicants

Apply For A Scholarship

Applicant's Full Name*
First Middle Last Suffix
Applicant's Date of Birth*
Applicant's Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Applicant's Social Security Number*
Applicant's Grade*
Parent or Guardian Full Name*
Prefix First Last Suffix
Parent or Guardian Contact Phone Number*
Parent or Guardian Contact Email*
Parent or Guardian Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Number of Family Members Dependent on the Deceased or Injured Guardian*
Deceased or Injured's Full Name*
Prefix First Middle Last Suffix
Deceased or Injured's Date of Birth*
Deceased or Injured's Social Security Number*
Date of Deceased or Injured Guardian's Death or Injury*
Please provide a brief description of the nature of the injury or fatality.
Please upload a copy of the applicant's most recent school transcripts.
Accepted file types: jpg, png, pdf, Max. file size: 32 MB.
Please upload a copy of the parent or guardian's most recent tax return.
Accepted file types: jpg, png, pdf, Max. file size: 32 MB.
Please upload two (2) letters of recommendation.
Accepted file types: jpg, png, pdf, Max. file size: 32 MB.
For an injured parent or guardian, please upload the first report of the injury.
Accepted file types: jpg, png, pdf, Max. file size: 32 MB.
For an injured parent or guardian, please upload the current medical reports/rehabilitation reports.
Accepted file types: jpg, png, pdf, Max. file size: 32 MB.
For a deceased parent or guardian, please upload a copy of the death certificate.
Accepted file types: jpg, png, pdf, Max. file size: 32 MB.
Name of Preferred Hockey Organization*
Address of Hockey Organization
Street Address Address Line 2 City State ZIP Code
Hockey Organization Contact's Full Name*
First Last
Hockey Organization Contact's Phone Number*
Hockey Organization Contact's Email Address*
Total Cost of League Fees*
Total Cost for All Necessary Equipment*
*
- 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.

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