Skip to content
divepirates@divepirates.org
Facebook page opens in new windowLinkedin page opens in new windowYouTube page opens in new windowInstagram page opens in new windowPinterest page opens in new window
Dive Pirates
Training Adaptive Divers
Dive PiratesDive Pirates
  • About Us
    • Inspiring Stories
    • Our Mission and Team
    • Partners and Sponsors
  • Donate
    • Become a Member
    • Donate Now
    • Shop and Support Us
    • Support a Diver’s Journey
    • Support Your Local Dive Chapter
    • Where the Money Goes
    • Maximize Your Impact
  • Become an Adaptive Diver
    • Adaptive Diver Application
    • Adaptive Scuba Diving Resources
    • Become an Adaptive Dive Buddy
    • Diver Medical & Physician’s Evaluation Form
    • Dive Pirate Scholarships
  • Get Involved
    • Attend Events
    • Become a Dive Pirates Chapter
    • Become an Adaptive Instructor
    • Become a Volunteer Dive Buddy
    • Volunteer
  • Store
  • Contact Us
Search:
  • About Us
    • Inspiring Stories
    • Our Mission and Team
    • Partners and Sponsors
  • Donate
    • Become a Member
    • Donate Now
    • Shop and Support Us
    • Support a Diver’s Journey
    • Support Your Local Dive Chapter
    • Where the Money Goes
    • Maximize Your Impact
  • Become an Adaptive Diver
    • Adaptive Diver Application
    • Adaptive Scuba Diving Resources
    • Become an Adaptive Dive Buddy
    • Diver Medical & Physician’s Evaluation Form
    • Dive Pirate Scholarships
  • Get Involved
    • Attend Events
    • Become a Dive Pirates Chapter
    • Become an Adaptive Instructor
    • Become a Volunteer Dive Buddy
    • Volunteer
  • Store
  • Contact Us

Scholarship Application

You are here:
  1. Home
  2. Become an Adaptive Diver
  3. Dive Pirate Scholarships
  4. Scholarship Application

Scholarship Application Form 2027

Please complete all required sections of the scholarship application. Applications must be complete and submitted by December 31, 2026 to be considered. You may use the Save and Continue option at any time to save your progress and return later to complete the application before the deadline.

Name
Address
Is your adaptive buddy planning to come too?
Name Of Adaptive Buddy

Application

Please complete the following in as much detail as you can, so we can carefully consider your application:
I am applying for
Check all that apply
Drop files here or
Accepted file types: pdf, Max. file size: 1 MB.
    Drop files here or
    Accepted file types: pdf, Max. file size: 1 MB.
      Drop files here or
      Accepted file types: jpg, jpeg, Max. file size: 1 MB.
        Scholarship Recipient Responsibilities & Agreement(Required)
        I agree to
        Out of Pocket Expenses*
        I understand there are some out-of-pocket expenses, please acknowledge each expense by checking the boxes

        Important Scholarship Application Information

        1. Complete applications are required. Applications will not be considered unless all required elements are included. All application materials must be received by the end of the day on December 31, 2026.
        2. Applicant notification: All applicants will be notified of the results by January 15, 2027.
        3. Scholarship announcement: The scholarship recipient will be included in the 2027 Dive Pirates Ball program and announced during the event.
        4. Your privacy: Information submitted as part of your application will only be shared with the scholarship committee and will be kept confidential.

        loader
        SIGNUP FOR OUR NEWSLETTER


        Email Address*

        First Name

        Last Name

        Your e-mail address is only used to send you our newsletter and information about the activities of Dive Pirates. You can always use the unsubscribe link included in the newsletter.

        • Dive Pirates Tax Returns
        • Bylaws
        • Disclosure Statement
        • Dive Pirates W9
        • Media Center
        • Privacy Policy
        • Contact Us
        • My Account
        • Dive Pirates Tax Returns
        • Bylaws
        • Disclosure Statement
        • Dive Pirates W9
        • Media Center
        • Privacy Policy
        • Contact Us
        • My Account


        © Dive Pirates Foundation
        Website Development by SquidzInk
        and Stretch Business Solutions


        Dive Pirates Foundation
        P.O. Box 1564
        Wellington, CO 80549

        Phone: 877-EYE-DIVE (877-393-3483)
        Fax: 832-694-4029
        Email: divepirates@divepirates.org

        Facebook Linkedin Youtube Instagram Pinterest
        Go to Top