Scholarship Application Form - Ymca Of The Fox Cities
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3YMCA OF THE FOX CITIES
Scholarship (Strong Kids)
Application Form
HOW TO APPLY
1. Required documentation to process your request:
q Fill out this Scholarship Application completely.
q Required: Copy of most recent tax return/W2/1099 forms OR ‘Taxes not filed’
letter from IRS
q Required: Copy of two recent payroll stubs OR Copy of unemployment
check stubs
q If Applicable: Verification of any other assistance received (food stamps, child
support, housing assistance, etc)
q If Applicable: Social Security income verification (tax return not required)
2. After all paperwork has been completed; contact the Member Services desk for
scholarship meeting times. The meeting will last between 15-30 minutes.
SELECTION PROCESS
Eligibility for financial assistance will be determined by the appropriate staff, based on a thorough review of
the application and a personal interview with the applicant. The length of program assistance will be reviewed
every three to nine months, not exceeding twelve months. You will be asked to complete a new scholarship
assistance form for all renewals. Failure to report any form of income may result in the termination or delay of
scholarship assistance from the YMCA. The YMCA of the Fox Cities reserves the right to refuse assistance
to any applicant.
SCHOLARSHIP STATEMENT
The YMCA believes in providing membership and program services to all who desire to participate in the
YMCA. If you are interested in making the YMCA a part of your life, but feel you cannot afford the regular
rates, you may be awarded a partial scholarship of assistance. The scholarship program, supported in part
through contributions to the YMCA Strong Kids Campaign, provides membership and program scholarships
for those in need within our available resources. Scholarships are granted on a sliding fee basis, using your
household gross monthly income and household size as a guideline.
Appleton
Apple Creek
Camp Nan A Bo Sho
Fox West
Heart of the Valley
Neenah-Menasha
218 E Lawrence
2851 E Apple Creek Rd
18369 Okonto Ln
W6931 School Rd
225 W Kennedy Ave
110 W N Water St
Appleton, WI 54911
Appleton, WI 54913
Lakewood, WI 54138
Greenville, WI 54942
Kimberly, WI 54136
Neenah, WI 54956
920-739-6135
920-733-9622
920-729-9622
920-757-9820
920-830-5700
920-729-9622
YMCA of the Fox Cities Mission: The YMCA is a not for profit organization which seeks to put Christian
principles into practice through programs that build healthy spirit, mind, and body for all.
MS staff _________
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