Financial Aid Application Player InformationPlayer Name* First Last Player's Email* Enter Email Confirm Email Player Cell Phone*Date of Birth (Month)*1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - DecemberDate of Birth (Day)*12345678910111213141516171819202122232425262728293031Date of Birth (Year)*20032004200520062007200820092010201120122013201420152016Current School* Current Soccer Club + Team* Player Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary Parent/Guardian InformationPrimary Parent/Guardian Name* First Last Primary Parent/Guardian Email* Enter Email Confirm Email Primary Parent/Guardian Phone*Father's InformationFather's Name* First Last Father's Email* Enter Email Confirm Email Father's Phone*Father's Occupation* Father's Employer* Number of years of Employment at current position (FATHER)* Annual Income (FATHER)* Mother's InformationMother's Name* First Last Mother's Email* Enter Email Confirm Email Mother's Phone*Mother's Occupation* Mother's Employer* Number of years of Employment at current position (MOTHER)* Annual Income (MOTHER)* Household InformationDoes this player have siblings living in the same household under the age of 20?* Yes No If yes, how many siblings?* If yes, do this/these sibling(s) receive financial aid from their school(s)?* If yes, are any siblings playing soccer with Marin FC or at another club?* If yes, has/have this/these sibling(s) received financial aid previously?* Is the need for aid temporary or permanent?* Temporary (eg. between jobs, divorce, unusual medical or other expenses) Permanent (eg. fixed annual household income, household dependents such as elderly relatives) Please describe the circumstances of need for the financial aid:*How much can the household afford monthly toward this player’s soccer costs?* $50 $60 $70 $80 $90 $100 $150 What is the total annual household income as shown on IRS Form 1040 page 1, line 9?* Please provide any relevant information not otherwise asked about your situation and need for financial aid.*Please upload a legible image (photo or scan) of an income verification document, eg. IRS filing (first two pages) or W-2 statement(s) or a recent paystub.*Accepted file types: jpg, gif, png, pdf, Max. file size: 10 MB. IMPORTANT: Marin FC will not consider any financial aid application without valid income verifcation documents. EmailThis field is for validation purposes and should be left unchanged.
