Home

About the Y
       YMCA History
       Facility
       Facility Hours
       CEO Message
       Board
       Members of the Board
       Association Leadership
       Financials
       Calendar
       Employment

Our Focus

Contact Us
Financial Assistance Scholarship Committee Minimize

 
Richard Ward Youth Development Director
Maureen Paul Membership Coordinator
Stacey McGee Director of Healthy Living
Heather Husted Program Director
Kathy Scholl
 School Age 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.
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.
CAPTCHA image
Enter the code shown above
* Required
Our Focus

Sign up for Y Updates

Financial Assistance Scholarship Form
Home  |  About the Y  |  Our Focus  |  Contact Us   |  Login  |  
Copyright © 2012 by Valley-Shore YMCA. All rights reserved.   |  Terms Of Use  |  Privacy Statement