Scholarship Application — Carolina Swim Instructors

Swim For All Application

Residents of the Triangle area can apply for themselves or their child to receive 8 swim lessons this summer. Lessons will be free or subsidized depending on financial need. All equipment is provided—just bring a swimsuit.

Scholarship applications are open until June 1st and will be reviewed on a rolling basis. Applicants can expect to hear back within two weeks of submission.

Full Name of Student

First Name

Last Name

Age

Parent or Guardian Name (if under 18)

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Pool Access

If you have access to a pool where you would like to have lessons, please provide the address of the pool below

How often would you like to have lessons and what are some times that work best for you throughout the week?

What is your household size?

What is your total household income?

Are you eligible for the following assistance programs? (Check all that apply)

Free School Lunch

Reduced School Lunch

SNAP

TANF

Medicaid

WIC

Why are swim lessons important to you or your child?

What challenges have you faced in accessing swim lessons in the past?

Swim For All Application

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The Triangle Area

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