Coastal FHC Financial AssistaNCE Form

Thank you for considering Coastal Field Hockey. We have a select number of scholarships available for the 2022 season. In order to remain fair and consistent in how we award scholarships, we ask each family inquiring about scholarships to fill out this brief form. This information will only be shared with our Board of Directors who make scholarship decisions.

Name of Athlete

First Name

Last Name

Name of Parent

First Name

Last Name

Parent Email Address

Adjusted Gross Income (AGI), for most recent tax year

$0-5,000

$5,000-15,000

$15,000-25,000

$25,000-35,000

$35,000-45,000

$45,000-55,000

$55,000-65,000

Above $65,000

Number of Dependents in Household

Personal Statement (not mandatory but may be helpful)