Aquatics for All

Out to Swim Scholarship Fund Application: Membership Fees

Use this form if you have already received a grant to support membership fees in the last 12 months

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

ASA Number

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

Email Address

Telephone

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

How have your circumstances changed since your last application?

How has your last grant helped you?

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 Where the award is on an ongoing basis it may be withdrawn at any time, but we will try to give you as much warning of this as we can.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