Scholarship Application

Apply Here!

Eligibility Requirements:

Lessons must be with a currently certified ISR instructor
Child must be eligible to participate in ISR lessons
Assistance given based on financial need
Must consistently attend lessons throughout full session
Submit the following:
- Two Current Pay Stubs (both yours and your spouse if applicable)
- Most recent Tax Returns
- Driver's License
- If Applicable, Proof Of: why you did not file taxes, unemployment benefits, Child support statement, social security/disability statements

Parent/Legal Guardian Information:

First Name

Last Name

Phone Number

Email Address

Address

Date of Birth

Upload Driver's License

Spouse Name (if applicable):

First Name

Last Name

Income Verification

Please verify that even with rearranging your finances to prioritize lessons, it would be a financial hardship to pay for the lessons. The intention for this scholarship is to provide financial help for families truly in need. If you are able to reprioritize your finances in order to pay for lessons, we ask that you do not apply. We advocate that since drowning is the #1 cause of death for healthy children ages 1-4, prioritizing their safety in the water should be of the utmost importance. Falsifying the information on your application could result in reversal of funding at any time and at Swim For Vinny's discretion.

I verify our family is truly in need.

Number of People in your Household

Total Household Monthly Income (Before Taxes)

Please upload your last 2 Pay Stubs:

Upload Pay Stub 1

Upload Pay Stub 2

Please upload your Spouse/Partner's last 2 Pay Stubs:

Upload Pay Stub 1

Upload Pay Stub 2

Please upload your most recent Tax Returns for you and your spouse/partner if applicable

Please block out SSN for your protection.

Upload Tax Returns

If you did not file taxes last year, please sign below indicating your income level was below the amount necessary to file taxes:

Your Signature

Please list the weekly amount you can CAN afford to pay:

If selected, I understand I will be reponsible for paying for the ISR Organization registration fee

Child Receiving Lessons Information:

First Name

Last Name

Birthdate

Has your child or family been affected by a drowning?

ISR Instructor Information

If Yes, when have you coordinated for your child to start?

If No, please reach out to your local ISR instructor to understand when you can get your child in for lessons. You can find your nearest instructor at:

Please explain why you are looking for assistance:

Name/Photo Release:

, the parent or legal guardian of

if chosen, authorize Swim For Vinny, Inc. to use any media collected including but not limited to, photos, videos, and audiotapes for educational purposes including but not limited to publicity, copyright purposes, illustration, advertising, web content, presentations, publications, and social media posts as it relates to advocating for water safety through the Swim For Vinny, Inc. organization, at Swim For Vinny, Inc.'s sole discretion and for no compensation to me.

I authorize use indefinitely.

Thanks for submitting!