Scholarship Application

Age of student(s) you are requesting scholarship for *

Household Employment & Income

If you are unemployed but your spouse/partner is not, please fill in the following information for your spouse/partner.

Occupation(s) of working adult(s) (if applicable; please note "unemployed" or "unable to work" if not) *

Employers' Name (if applicable) *

Employer's Address (if applicable; if multiple, please provide for primary source of income) *

Line 1

Line 2

City

State

Zip Code

Country

Total Household Monthly or Yearly Income (please indicate which) *

Unemployment *

Child Support/Alimony *

Food Stamps *

Other Income or Support *

Upload: recent pay stub OR copy of last year's federal tax return OR proof of participation in WIC, Head Start, Peachcare for Kids, or Medicaid *

Max file size: 20MB

Is there any other relevant information you think we should be aware of? How would a scholarship for swim lessons help your family? *

I affirm to the best of my knowledge that the above information is true and complete. I agree to provide assistance or income documentation as requested, thereby completing the application. I understand this financial assistance is short term and will be reviewed regularly.

Swim Beyond the Boundaries Inc. Scholarship Application
(Application is for swim lessons at Swim Beyond locations in Georgia. Please refer to our FAQ page for pool locations! Class offerings/session options can be found here.)

Household Information

Student Information

Household Employment & Income

If you are unemployed but your spouse/partner is not, please fill in the following information for your spouse/partner.

Swim Beyond the Boundaries Inc. Scholarship Application ​(Application is for swim lessons at Swim Beyond locations in Georgia. Please refer to our FAQ page for pool locations! Class offerings/session options can be found here.)

Household Information

Student Information

Household Employment & Income

If you are unemployed but your spouse/partner is not, please fill in the following information for your spouse/partner.

Swim Beyond the Boundaries Inc. Scholarship Application
(Application is for swim lessons at Swim Beyond locations in Georgia. Please refer to our FAQ page for pool locations! Class offerings/session options can be found here.)