FWCC Swimmership Scholarship Application

FWCC SWIMMERSHIP APPLICATION

THIS SCHOLARSHIP FUND WAS CREATED BY THE PARTICIPANTS, STAFF AND VOLUNTEERS OF THE 2011 SWIM-A-THON TO KELP KEEP KIDS SAFE. TOGETHER, WE MADE IT HAPPEN!
MAIN CONTACT INFORMATION
Parent / Guardian Name*

First NameMiddle InitialLast Name
Home Address*

Home Address

Street Address Line 2

CityState

Zip
Mailing Address (If different than home address)
Parent / Guardian Email*
example@example.com
Parent / Guardian Main Phone*
Format: (000) 000-0000.
Secondary Phone
Format: (000) 000-0000.
PARTICIPANT(S) INFORMATION MUST BE IN GRADES K-12 TO QUALIFY

Must be in grades K-12 to qualify. Please input information for up to 4 children below.

Rows	First Name	Last Name	Gender	Birth Date	Swim Class Requested (Teen, Youth, Preschool)
Participant 1
Participant 2
Participant 3
Participant 4

VERIFICATION OF NEED

The participants requesting a Swimmership Scholarship must qualify using one of the following:
1. City of Federal Way FWCC Fee Assistance Application Submission (Verified by FWCC. Click here for an application if you have not filled one out prior.)
2. OR Copy of Qualification for Free/Reduced lunch program in the school district the participants attend.
Please Upload Verification Files Here*

Accepted Formats: pdf, doc, docx, xls, xlsx, csv, txt, zip, jpg, jpeg, png, gif
Cancelof
DATE RECEIVED

MonthDayYear
Date
TODAYS DATE

MonthDayYear
Date
Should be Empty:

FWCC SWIMMERSHIP APPLICATION