Learn to Swim Scholarship Application

Welcome to our 2021 Learn to Swim Scholarship application. Please complete all information boxes below to the best of your abilities. Once completed, our team will reach back out with more information. Please direct all your questions to our Program Manager, Jean Luc Miralda (616) 393-7595.

Application Form

Step 1 of 2

General Application Information

The following information is required in order to apply for the Learn to Swim '21 Scholarship. Please submit this application online or stop by our front desk.

Swimmer Information

Swimmers Name(Required)
MM slash DD slash YYYY

Parent / Guardian Information

Parents Name(Required)
For Scholarship Reporting Use ONLY: To the best of your knowledge, please select the ethnic group that best describes you.

Scholarship Information

Please read carefully as there are income eligibility restrictions to this scholarship.
This can be requested at any time and may include: confirmation of enrollment with school system, confirmation of income restriction, etc..