Scholarship Application

Friends of Swim with Gina is a non-profit organization dedicated to providing scholarships for children to learn swim, educate on water safety and decrease the number of drownings in East Texas. We believe all children should have the opportunity to learn lifesaving swimming skills regardless of their ability to pay. This scholarship fund is made possible through private donations from businesses and individuals all around East Texas.

Apply for Scholarship:

Upload proof of participation in financial assistance agency, i.e. WIC, CHIP, TANF, Free/Reduced Lunch program AND/OR a letter from a teacher, pastor or other community leader recommending the applicant for the scholarship.
A Board member of Friends of Swim With Gina will review the application to determine eligibility. You will be notified within 10 business days as to the outcome of your application.
If approval is granted, you will be contacted to complete your registration with Swim With Gina.
Scholarships are awarded based on the availability of funds/contributions of Friends of Swim With Gina.

Parent or Guardian Applying for the scholarship:

Parent / Guardian

Address

Email Address

Phone

How did you hear about us?

Average monthly income:

How many in your household?

Tell us about your swimmer:

Name

Date of Birth (DoB)

Swimming Ability

Has your swimmer taken lessons before?

Yes

Are there any special needs/situations we need to be aware of?

Please describe why your family needs to participate in our program.

I understand that if I am awarded a scholarship, this program will become a priority and I commit to swimming lessons during the specified time period.

I understand that skill information and pictures may be used with current and potential donors.

Attach proof of financial assistance:

Browse files

Size limit for each file is 100 MB