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. Income verification can be submitted in the form of a W2 or similar year-end tax document (most preferred), or via at least 2 months of paystubs, or via benefit letters for federal or state disbursements (TANF/WIC/SNAP/Disability/Social Security/Pension). 

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. 

gif, jpg, png, pdf
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf.