Special Olympics Missouri

Stevie Lain Memorial ALPs Scholarship

PROCESS FOR REQUESTING SCHOLARSHIP

  1. Fill out the attached form
  1. Return to your area office ASAP. Remember that ALPs University registration is open until the first 40 athlete-leaders sign up. The sooner you fill out this application, the sooner your request will be evaluated and the sooner you could be signed up to take one of those 40 slots.
  1. Request is reviewed by the ALPs Scholarship committee to be made up of two ALPs Management Team members and your area program staff member.
  1. A letter, email or phone call will let the person making the request know the committee’s decision.

Please Note: Each athlete should only be allowed to receive ONE ALPs University scholarship in one calendar year, so that other athlete-leaders may receive the benefit of the scholarships as well.

SPECIAL OLYMPICS MISSOURI
STEVIE LAIN MEMORIAL ALPs SCHOLARSHIP

REQUEST FOR SCHOLARSHIP

Please complete the application below so we may evaluate your request:

(Please note your request is treated as confidential information.)

Date of Request
Athlete or Mentor’s Name (Also circle which one you are)
Athlete or Mentor’s Agency
Person Making the Request if different from above
If you’re signing up as a mentor, who is your athlete-leader?
If you’re signing up as an athlete-leader, who is your mentor?
Mailing Address
City / State / Zip
Home Phone (required) / Work Phone / Email (required)
Family Size / # of Adults / # of Children (21 & under)
Athlete’s living arrangements:
 With family  With Friends  With Foster Family  On their own  In a group home Other
Is this request for multiple athletes in one household?  Yes  No
Is so, please list the athlete’s names and ages below:
Name / Age
Name / Age
Name / Age
Has this person attended an ALPs University or Global Messenger training before? If so, when?
When was the last time you made a request for assistance either for ALPs, sports camp or for a state competition SGA?
Please check the ALPs University you are making the request for:
Spring/Summer ALPs University Fall/Winter ALPs University
Please explain why you are making this request.
How much do you feel you can afford to pay toward the registration fee? Every ALPs University fee is different. Make sure you check first to see how much the upcoming University costs.
Signature of Person making the request / Date
Signature of Coach (if not making the request) / Date
Coach Comments
Signature of Area Program Staff / Date
Area Program Staff Comments

Updated 9.8.16