Scholarship Reference – Athletes Caring Together

Please fill out this form to provide a reference for a child wishing to participate in a sports activity. The reference verifies the applicant is in need and would not be able to participate in the sport without the assistance of Athletes Caring Together Inc. The reference should be familiar with the family and child athlete. Unfortunately family members are not considered a valid reference. Please see the list of qualified professional references below:

Social Worker/Case Worker
School Counselor or Administrator
Physician or Therapist
Religious Figure such as a Priest, Pastor or Rabbi
Community Leader – Coach, Youth Sports Director

Full Name of Reference*
Organization*
Position
Phone
Email*
Organization Address*
Street Address City State ZIP Code
Child athlete you are providing a reference for (Full name or Applicant #)*
How Do You Know the Applicant?
Reference Recommendation: (Please write a few sentences about the applicant and why you think they are in need of the scholarship. Please include any applicable information such as financial status or socio-barriers of the child/family.)*