Name of Applicant (required)

Your Street Address (required)

Your PO Box

Your City (required)

Your postal code (required)

Your Phone Number (required)

Your Email (required)

Your Age (required)

Parent(s)/Guardian(s) name (required)

Name of Program you are interested in: (required)

Amount of Funding you are applying for: (required)

Other Requirements

What School do you attend? (required)

Grade: (required)

Please explain your circumstances for needing assistance or support AND how the Foundation's support would make a difference to you:(required)

Would your parent/guardian be prepared to supply a reference letter to confirm financial need to the Emily Brydon Youth Foundation Committee? (required)
YesNo

Essay (for applicants 13 years or older): What are your futuree goals, including educations as well as athletic goals? How would/have sports helped you grow as a person? Please explain what difference a financial helping havd would mean to you.