www.newarkadvocate.com         www.lmhealth.org         

LMHS Youth League Scholarship Application

Licking Memorial Health Systems (LMHS) provides registration fee scholarships for children who, without this financial assistance, might not be able to participate in one of Licking County’s youth recreational athletic leagues.  The LMHS Youth League Scholarship program provides opportunities for area youth to participate in recreational team sports as part of our mission to improve the health of the community.  Participation in recreational team sports provides physical, mental and character-building benefits.

Please note that school sports are not eligible for this scholarship. Also an individual application is required for each child.

Eligibility:

To be eligible for the LMHS Youth League Scholarship program:

  • Athlete must be a Licking County resident.
  • Athlete must be age 15 or younger.
  • Athlete participates in a minimum of 80% of the scheduled practices and games.
  • Participation by a family member in at least one (1) volunteer opportunity during the scholarship season.
  • Athlete or parent must have completed the youth league’s registration form.
  • Application must be completed by a parent, guardian, or head of household, with all requested information provided.

Application must be completed by a parent, guardian, or head of household, with all requested information provided.

 

Option 1: Download, Print and Mail in Application

Click here to download the Youth League Scholarship Application (PDF)

Please return the completed application to:

Licking Memorial Hospital
Development Department
1320 West Main Street
Newark, Ohio 43055
 

Option 2: Complete Application Form Online

Please complete the following form in its entirety.

For suggestions on local leagues for which the scholarship may be applicable, please visit the Sports Activity Resources page. 

If you have any questions or need assistance completing the LMHS Youth League Scholarship application, please call the Development Department at (220) 564-4102, from 8:00 a.m. to 4:30 p.m., Monday through Friday.

Athlete Information
Gender:
Athlete Lives With:
Parent/Guardian Information
( ) -
( ) -
( ) -
( ) -
( ) -
( ) -
Additional Information
Consent to Release Information