Scholarship ApplicationGeneral InformationEmployment InformationLegal DependentsGeneral QuestionsUpload Documents Legal Declarations0% Complete1 of 6 Application for ScholarshipLive Like Jake Foundation, Inc. was created by Keri and Roarke Morrison in honor of their son, Jake Morrison, who passed away as the result of a tragic drowning accident. The Foundation’s mission is to promote childhood drowning awareness and water safety. In order to accomplish this, we encourage self-rescue swim lessons. We try to help minimize the cost of the lessons for those in financial need by granting scholarships. Please note these scholarships are for families that truly cannot afford the lessons.ELIGIBILITYAssistance is granted based on financial need. We consider household income and number of legal dependents as the primary criteria. While we understand that monthly expenses can be extensive, it is impossible to base scholarship awards on each individual budget.We believe that a sense of ownership is developed if the participant contributes to the cost of his/her involvement. Therefore, scholarship recipients may pay a percentage of the program fees.Scholarships are granted for one session for up to 6 weeks of lessons. Upon expiration, the recipient must reapply. The original scholarship application information is valid for 6 months after original approval.General Information First Name - Parent/ Guardian * Last Name - Parent/ Guardian * Phone Number * Email Address * Enter Email NOTE: ALL communication will go to this address. Confirm Email Address * Confirm Email Date of Birth * Gender * Male Female Address * Address Street Address Street Address Building/Apartment/Suite # Building/Apartment/Suite # City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Does a Spouse or Partner live with you? * Yes No How Many Dependents Live With You? Current Residence * Own Rent OtherOther Do you have a pool at your residence? * Yes, with pool fence Yes, but NO pool fence No DROWNING IN THE FAMILY * Yes No*HAS YOUR CHILD EXPERIENCED A DROWNING, EITHER FATAL OR NON-FATAL (THAT REQUIRED AT LEAST ONE-NIGHT IN HOSPITAL) ? MUST BE YOUR CHILD; NOT A RELATIVE. Paragraph Next
