Scholarship Application
FY 2025/2026
Scholarship Application Process
We are glad you have chosen to be a member of Lakeshore Foundation. In order to serve you more effectively, we have outlined our scholarship process. 1. You must complete a membership application along with the Scholarship application or be an active member to apply for financial assistance. 2. Please fill out the application completely. Any missing information will delay processing of the application. 3. Be prepared to upload a copy of the documents listed in the checklist below. 4. Please list all individuals in your household who are applying for membership. You must provide proof of residence AND income (if applicable) for ALL members on the account. 5. Within 10 business days, you will receive written notification (via email) regarding the status of your application. 6. If you are approved for financial assistance, you and ALL other active members in your household will be required to visit Lakeshore Foundation four (4) times a month to maintain your scholarship. If you are unable to make your required visits, please contact our membership staff at membership@lakeshore.org to keep your account in good standing.
Please have the following documents ready to upload during this online application.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I request financial assistance for:
*
Premier membership (includes Aquatics Center)
Standard membership (excludes Aquatics Center)
Youth membership
Rostered Athlete membership
Other
Will you have other individuals join with you? (Proof of residence MUST be provided for all members on the account).
*
Yes, I have others who live with me who will be joining
No, I am the only one joining
Unsure, I am the only one joining now but others in my house may join at a later date
Are you a Veteran or Active Military member?
*
Yes
No
No, but someone in my household is
Do you receive SSI/Medicaid?
*
Yes
No
Applied
Proof of SSI income - Can be award letter or bank statement showing deposit
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Do you or your dependents receive free of assisted school lunches?
*
Yes
No
Yes, the whole school system is provided free lunch.
Do you receive SNAP benefits/food stamps?
*
Yes
No
Applied
Proof of SNAP/food stamps benefits
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What county do you live in?
*
Jefferson
Shelby
St. Clair
Other
Annual gross household income from all sources.
*
How many people, including yourself, are in your household?
*
Proof of Income - Most recent bank statement
*
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Proof of Income - Most recent paystub
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Date of Submission
-
Month
-
Day
Year
Date
Signature
Please verify that you are human
*
Submit
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