Sponsorship Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.123Thank you for your interest in requesting sponsorship from Empower Youth Fund. Our sponsorship program is designed to support the aspirations of underserved youth, ages 7-18 by providing access to resources that enhance their athletic skills. This application may be completed by the student, their parent/guardian, teacher, or coach. Please provide as much detail as possible to help us evaluate the request. Submitting an application does not guarantee sponsorship. 🔹 Important: This application is 3 pages long and will take more than a couple of minutes to complete. Please make sure you have enough time to provide the necessary details before starting. If the student is selected, we will contact the parent or guardian listed in this application to complete a required photo and video consent form before final approval. If you have any questions, please contact us at info@empoweryouthfund.org Who is filling out this form? *StudentStudent's Parent or GuardianStudent's TeacherStudent's CoachFiler's Name *FirstLastFiler's Email Address *Filer's Phone Number *Student's InformationStudent's Name *FirstLastStudent's Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeStudent's Age *Please tell us how old the student is.Student's Phone Number *Student's School Name *What sport does the student play? *What level does the student play at? *Is the student a junior olympian, national team member, regional or state champion, elite or academy program, etc.?Please upload an image of the student from an event? *The image should clearly show the students face. Extension file types allowed: .png, .gif, .jpgNextStudent's Parent/Guardian InformationParent/Guardian Name *FirstLastParent/Guardian Phone *Parent/Guardian Email *Student's Teacher InformationTeacher's Name *FirstLastTeacher's Email *Please provide the teacher's work email address not their personal email address.Teacher's Phone *Please provide a work telephone number for the teacher, not a personal telephone number.Student's Coach InformationCoach's Name *FirstLastCoach's Email *Please provide the coach's work email address not their personal email address.Coach's Phone *Please provide a work telephone number for the coach, not a personal telephone number.NextSponsorship RequestDescribe the type of sponsorship you are looking for. *Are you looking for sponsorship with travel expenses, sports equipment, registration fees, etc? Be as specific as possible. Are you able to provide Empower Youth Fund with an invoice or itemized list for the sponsorship you are requesting? *YesNoTell us why we should support you or the student? *Consent and AcknowledgeConsent and Acknowledge *By submitting this application, I certify that the information provided is accurate to the best of my knowledge. I understand that submitting this form does not guarantee sponsorship and that additional information may be required. I also acknowledge that if the student is selected for sponsorship, a separate photo and video consent form will be sent to the parent or guardian listed in this application. A wet signed consent form will be required before sponsorship approval.Submit
