Access Scholarship Application Form Page 2

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YMCA of Greater Boston
ACCESS Financial Assistance Application
Since 1851, the YMCA of Greater Boston has lived its mission to build health of spirit, mind and body for all and to
improve the quality of life for children, teens, adults and families throughout Greater Boston. At the Y, strengthening
community is our cause. By encouraging youth development, promoting healthy living and fostering social
responsibility the Y is positively impacting people and communities. Every day, we work side-by-side with our
neighbors to make sure that everyone, regardless of age, income or background, has the opportunity to learn, grow
and thrive.
Deeply rooted in our community, it is the mission of the YMCA to make it affordable for all. Membership and
programs are available to all regardless of age, income, ability, race or religion. Based on available resources and
sliding scale eligibility, the Y will not turn anyone away due to an inability to pay our full fees. Our ACCESS program
provides financial assistance based on need through an easy application process. Much of the financial assistance
dollars shared are made possible through the generosity of those who contribute to our Annual Reach Out Campaign
and United Way support.
Financial Assistance Policy
The YMCA of Greater Boston will provide financial assistance to qualified applicants through our ACCESS program
based on the following:
Applicants qualify for assistance based on annual adjusted gross household income and the size of the family.
ACCESS assistance is available up to 60% for membership and programs and up to 50% for early education,
out-of-school time and camp. Branch Executives have authority, based on extreme need, to make larger
assistance grants.
ACCESS is reviewed at least annually by the YMCA, from the date of this approved application, or as requested
by the YMCA.
The applicant must responsible to reapply with current income verification prior to the end date of his/her
financial assistance or as requested by the YMCA. The YMCA will send a financial assistance expiration notice
30 days prior to expiration. If the applicant does not re-apply for financial assistance fees will be charged at
the full-published rate.
The amount of financial assistance being offered is limited only to the overall resources of the YMCA of
Greater Boston.
All ACCESS financial assistance information is confidential.
Application Process
Complete ACCESS application
Household income from most recent tax return (1040, not W2)
AND
social security numbers will be redacted
One month proof of recent income (paystubs), or other proof of your current combined household income
(SSI/SSDI)
Other proof of income verification may be required and/or accepted at the discretion of the YMCA, i.e. signed
letter from your employer, on your employer’s letterhead detailing the weekly income you earn.
Notification Process
The YMCA will notify applicants via the contact information provided on the ACCESS application.
Applicants are expected to update contact information as needed.
Please expect to hear from us within 14 days of submitting your complete ACCESS application.
Revised 12.20.2010

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