Thank you for taking the time to fill out our Income-Based Scholarship Application! We look forward to helping serve you and your family.

Directions: Applications must be completed in full to be reviewed and approved. Upon submission, additional information may be required to complete processing of your application, such as proof of income, proof of address, and proof of identification. Applicants home address must be in the following zip codes to qualify for income-based scholarships: 46302, 46341, 46347, 46383, 46385. Work addresses will not be accepted. YOUR FORM IS NOT SUBMITTED UNTIL YOU SEE THE CONFIRMATION PAGE AFTER CLICKING "SUBMIT"!

Income verification can be submitted in the form of:

  • A W2/1040/1099 or similar most recent year-end tax document (most preferred)
  • At least 2 months of paystubs
  • Be sure to include any benefit letters for additional federal or state disbursements (TANF/WIC/SNAP/Disability/Social Security/Pension/Child Support/Alimony) 

The YMCA is a place for ALL, we will always do our very best to accommodate every individual situation! Please do not hesitate to contact us if you have questions or circumstances not addressed in this application. 

If you are planning on starting or renewing a membership, please indicate for which membership category you are applying.
Including but not limited to: employment wages, unemployment, disability, social security, pension, alimony, child support, SNAP, etc
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gif, jpg, png, pdf
Files must be less than 6 MB.
Allowed file types: gif jpg jpeg png pdf doc docx xlsx xml.