SWIMMER SUPPORT FUND APPLICATION
Swimmer's name:
*
Parent/Guardian Name:
*
Years swimming with OAK:
*
Swimming Achievements:
*
Number of People in the Household:
*
Current Household Income (enter amount in Canadian dollars):
*
Circumstances around changes in household income:
*
Other swimming/sports activities:
*
Have you previously applied for funding through Jumpstart?
*
Yes
No
Funding received (enter amount in Canadian dollars):
*
Have you previously applied for funding through any other programs?
*
Yes
No
Funding received (enter amount in Canadian dollars):
*
Please specify the funding amount or percentage you are requesting through the Swimmer Support Fund:
*
Additional Information/Comments:
Contact Information
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Signature
*
Submit
Should be Empty: