Scholarship & Outreach Request Form
Please answer the following questions to be considered by the Piranha Aquatics Board of Directors for scholarship and/or outreach opportunities, which are given on a first-come, first-served basis. Our Outreach and Scholarship Policy can be found here: https://docs.google.com/document/d/1gs_XiXv_-fgiAvyM8KTISA0MRHnqPm8fA-2ZBzGkYz4/edit?usp=sharing. Please ensure you have read the entire policy before completing this form. Any questions can be directed to a board member.

Funds are limited by fundraising efforts as well as limited to one request per family per fiscal year (August 1-July 31).

Preference is given to those swimmers with long-term history of good-standing, parental involvement, and participation with the team.

Parent/Guardian First & Last Name *
Your answer
Swimmer's First & Last Name *
Your answer
Email Address *
Email address of person applying.
Your answer
Does the swimmer you are applying for qualify for free or reduced lunch? *
Has one or both parent(s)/guardian(s) in the household been out of work for 6 or more months? *
Does the household receive food stamps? *
Does the swimmer you are applying have special needs? *
What program are you requesting financial assistance for? *
Are you requesting assistance from the Scholarship Fund, the Outreach Program, or both? *If you are unsure, please consult the "Scholarship & Outreach Policy" here: https://docs.google.com/document/d/e/2PACX-1vRb_VpHkPbCP4T-ukSip4wV61r-iueIzgAIbO62rl79PJwmrhFilwAL4iYl2lCU2kVfhvFNwhAawh03/pub. *
If you are requesting money from the Scholarship Fund, how much are you requesting? (If you are requesting Outreach only, please type $0 as your response.) *
You may not request more than $200.
Your answer
Please explain, in detail, why there is a financial need for your family at this time. *
Your answer
How long have you been with the Piranha Aquatics program? *
The expectation of the board from families that accept scholarship and/or outreach is that families/swimmers provide service back to the organization in the amount of $10/hour of the amount given (above the required service hours for the competitive team). Some suggestions of ways this can be served are social committee positions, helping at parent meeting, photography at meets, etc. What skills do you have that would be useful in helping the organization? *
Your answer
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