ࡱ> @B?@ ?bjbjFF " ,, ;HHHH T,$nRh'"'+<:8 $˦H#4R0,(W(($hAJ<"''dH H  Applicants Name _______________________________________________ Address ______________________________________________________ Phone Number _________________ E-Mail _______________________ Parent/Guardian Name ___________________________________________ Address _______________________________________________________ Phone Number __________________________________________________ Parent /Guardian Employer________________________________________ Household Income (Gross)_________________________________________ Level of Play (Check One) Beginner ____ Intermediate _____ Overage Beginner ____ Mite ____ Squirt ____ Peewee ____ Bantam ____ Midget ____ PYH Program (Check One) House ____ Travel____ Please answer the following questions: Please describe the reason for your need of financial assistance. Why do you like to play the game of hockey? What qualities do you see in yourself that hockey is helping to develop? What qualities do you bring to help your teammates, your coaches and the PYH program? Fairport Rotary Sean Shortsleeve Memorial Scholarship Guidelines Applicant must be registered with Perinton Youth Hockey for the 2008-2009 season. Scholarship is for one season only. Recipients will be selected by the Fairport Rotary Club and not by Perinton Youth Hockey. The decision of the selection panel is final and may not be appealed. There may be up to 6 scholarships awarded for each season. This number is determined by the number of qualified applicants and the by the funds currently available. The breakdown of scholarships is as follows: Up to two partial scholarships not to exceed 50 % of the published Perinton Youth Hockey Travel fee schedule. Up to two partial scholarships not to exceed 50 % of the published Perinton Youth Hockey House fee schedule. Up to two full (100 %) scholarships for the Initiation/Beginners program based on the published Perinton Youth Hockey fee schedule. Application should be mailed by September 30, 2008. Applications postmarked after this date are ineligible. 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