SWIM BEYOND
About
Our Team
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FINANCIAL AID
What to know
Scholarship Application
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SWIM LESSONS
Days/Times & Registration
Class Level Descriptions
Policies
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LIFEGUARDING / BLS / CPR
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Household Information
*
Indicates required field
Individual Requesting Assistance
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Phone Number
*
Number of adults who reside in the home
*
1
2
3
More
Number of dependents living in the household
*
0
1
2
3
4
More
Number of children living in the household
*
0
1
2
3
4
More
Student Information
Name of student(s) you are requesting scholarship for
*
Age of student(s) you are requesting scholarship for
*
0-2
3-4
5-7
8-10
11-13
14-16
17-18
Adult
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 ALL working adult(s) in household
*
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: Most recent tax return
*
Max file size: 20MB
Upload: If applicable, 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.
Submit
About
Our Team
Testimonials
More
FINANCIAL AID
What to know
Scholarship Application
Donate
SWIM LESSONS
Days/Times & Registration
Class Level Descriptions
Policies
Summer Swim Team
LIFEGUARDING / BLS / CPR
FAQ
Contact