Josh Fischer Memorial Fund
Scholarship Form
The Josh Fischer Memorial Fund was established in February of 2000 in loving memory of
Joshua Fischer. Josh was a very active young boy from Deerfield. He had a true passion for
watching and participating in various sporting programs. This memorial fund was established so
that other young children in the Deerfield area could experience the thrill and joy of participating
in sports and/or being a part of a team.
Child.s Name
: _________________________________________________________________Child.s Address
: _______________________________________________________________Child.s Home Phone Number
: ____________________________Parent.s Name
: ________________________________________________________________Daytime Phone Number
: ________________________________________________________Reason you are requesting funds from the Josh Fischer Memorial Fund
: _____________________________________________________________________________________________
Has the above child or anyone in your family received money from this fund in the past? If
so, who received the scholarship and for what reason
? _____________________________________________________________________________________________________________
Application form must be submitted 10 days prior to need
for review by DCC Staff.
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DCC Staff Use Only
I ________________________________ Do / Do not recommend granting the above
child the requested funds from the Josh Fischer Memorial Fund.
Date: ______________________ Amount: _________________