Aquatics for All

Out to Swim Scholarship Fund Application: Membership Fees

If you have already received a grant to support membership fees in the last 12 months, please click here to complete the correct form

All information in this application will be used solely for the review and awarding of an Out to Swim Scholarship. All personal information will be kept confidential and will not be shared with anyone outside of the Scholarship Committee without the express consent of the applicant.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Telephone

Please select which scholarship you are applying for.

The Graham Pearlman scholarship is available for people living with HIV. The OTS scholarship is open to anyone to apply.

ASA Number

Go to this link to check for your ASA (Swim England) number: www.swimming.org/swimengland/club-member-check/

Please state your gross annual income.

Please include all salary, benefit payments, allowances, dividends and interest payments, stipends, rental, royalties etc.

Expenditure and Personal Circumstances

Are there any further circumstances related to this application ?

How many sessions a week will you attend?

Why do you swim?

For my mental Health

For my Physical wellbeing

To meet and socialise with others

To be around LGBT people

To take part in events / competitions

Other (specify)

How many competitions per year will you compete in?

Please note that participation in competitions is not a pre-requisite. Should you want to apply for financial support for attending a competition then you can make a separate application at any time. This is for our information purposes only.

I am applying for the following percentage of membership fees to be waived

Do you need further financial support to take part in this activity?

Other financial support may include assistance with transport costs for getting to our sessions, for example, but please note that this would be viewed as an exceptional request.

What benefit will you get out of swimming with Out to Swim?

The OTS Trustees will determine the amount of each scholarship based on the information provided, the available funds and on need. Awards will usually be made for a maximum period of 12 months. Where the award is on an ongoing basis it may be withdrawn at any time, but we will try to give you as much warning of this as we can. By submitting this request, you certify that all information in it is true to the best of your knowledge. You agree to use the funds granted for the purpose specified or risk rescinding of the award and that it is for your own benefit only.

I certify that all information supplied is true to the best of my knowledge. I agree to use the funds granted for the purpose specified or risk rescinding of the award and it is for my own benefit only