Sports Star Passport Program

Thank you for your interest in ACT’s Sports Star Passport Program! In order to be considered for this scholarship, please complete and submit the form below. Once received by the organization, we will reach out to applicants with further information including the Qualified Reference form. Both the application AND the reference form MUST be completed in order to be considered for the program.

If you have any questions, please do not hesitate to contact us.

Parent/Guardian Information
Parent/Guardian Name
Address
Street Address City State ZIP Code
Home Phone
Cell Phone
Work Phone
Email
How did you hear of us?
Athlete Information
Applicant Name
Date of Birth
Age at start of sport
Sport interested in
Requested scholarship amount
Name of organization/YL
Phone of organization/YL
Email
Address of organization/YL
Street Address City State ZIP Code

Parent/Guardian Information

Athlete Information