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Joan Camire Branch Director
Richard Ward Branch Director
Maureen Paul Membership Director
Stacey McGee Branch Director
Heather Husted Senior Program Director
Christina Forristall Program Director
Mary Lewis Childcare Director

The Committee will meet once a month to review applications and make decisions for awarding of financial assistance and/or scholarships for membership or programming. The CEO will review the committee recommendations for final approval.

Applicants may be required to pay partial price for membership or programming initially to allow the committee time to meet and review the request.

Payments will be adjusted accordingly.
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Financial Assistance Scholarship Form Minimize

Financial Assistance will not be distributed unless this form is signed an accompanied by all pertinent documents:

Two (2) pay stubs for each job that contributes to your family income and your most recent tax return (front page). If you are in business for yourself, a copy of Schedule C and/or Schedule F is required. Decree of Divorce and/or separate maintenance, if applicable. Proof of Social Security of Pension Income.

— OR —

AFDC or Welfare Budget Sheet and/or other support papers, including decree of divorce and/or separate maintenance that include amounts received.

Please answer the following questions completely:
Financial Assistance Agreement
I attest that the preceding information is true. I understand that if any information is found false, my membership privileges will be revoked. I understand that the information will be used confidentially by authorized personnel for consideration in granting financial assistance. I understand that the YMCA reserves the right to request a copy of my IRS form. I understand that this assistance is in effect for one year, and after that time it is necessary to reapply.
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Financial Assistance Scholarship Form
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