Scholarship Registration

Scholarship Registration

Mark Sorensen Youth Sailing is committed to helping students to experience the joy of sailing. Though donations and other programs we have a dedicated budget to assist those with financial constraints to be able to attend our program with partial or full scholarships. These scholarships can be applied to our summer program or to our year round learn to sail and race programs. Any information provided to MSYSP within this application will be kept in strict confidence.

Parents/Guardians: Please complete and submit the scholarship application. It will automatically be sent to the MSYSP Director and scholarship committee for review. All scholarships must be redeemed within the selected session or they will be withdrawn.

Any questions should be directed to our Director John Brehm at (786) 505-0075 or [email protected]

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Parent Email Address *

Participants Name *

First

Last

Parents Name *

First

Last

Address *

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Primary Contact Phone Number *

Current School

Does Your Child Participate in Free or Reduced School Lunch *YesNo

Scholarship Need Request *Full Scholarship50% Scholarship

2023 Family Adjusted Gross Income *

• Less than $40,000
• 40,000 – $70,000
• $70,000 – $100,000
• Over $100,000

2022 Family Adjusted Gross Income *

• Less than $40,000
• 40,000 – $70,000
• $70,000 – $100,000
• Over $100,000

2021 Family Adjusted Gross Income *

• Less than $40,000
• 40,000 – $70,000
• $70,000 – $100,000
• Over $100,000

Please list or describe any additional circumstances for scholarship consideration.

Answers will be kept confidential and only discussed among the scholarship selection committee.

I certify that the above is true and correct. I understand that scholarships are granted on the basis of need. *

• Yes

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