LSF Scholarship Application

Scholarship form information

After your scholarship information is reviewed, funds are awarded to applicants in one of two ways:
1. Reimbursement for identified expenses that have already been paid by the applicant (In order to finalize reimbursement, receipts are needed to be
submitted to LSF for review and approval).
2. Direct payment to the affiliate organization or program for expenses that you have identified for LSF to support and fund. No funding will go directly to
the scholarship recipient.

Date

Date of application

YYYY

Name of Applicant

First Name

Last Name

Parent(s)/Guardian of Applicant

First Name

Last Name

Parent/Guardian Email Address

Applicant Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian Phone Number

Organization that the funds will be paid to:

Name & Title of Organization Contact

Email for Organization Contact

Why are you requesting funding by LSF?

What are your goals and how will this scholarship benefit you?

How will the funds be used?

Summarize how the funds will be spent

Summarize in dollar amounts the expenses that you expect to pay for the activity of sport.

List Total Cost being Requested Here

Registration Fees

Equipment

Apparel

Travel Expenses

Other Expenses

The Lewis Sports Foundation | P.O. Box 46451 | Eden Prairie, MN | 55344 | 612-382-7160